DR. MATTHEW JOSEPH DOUGHERTY NPI 1225188840

NPI Information

  • NPI: 1225188840
  • Provider Name: DR. MATTHEW JOSEPH DOUGHERTY
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 700 SPRUCE ST
    STE 101
    PHILADELPHIA, PA
    ZIP 19106
  • Phone: (215) 829-5000

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NPI Details

DR. Matthew Joseph Dougherty is a vascular surgery surgery in Philadelphia, PA with 41 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Matthew Joseph Dougherty NPI is 1225188840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1984

The provider's business location address is:

700 SPRUCE ST
STE 101
PHILADELPHIA, PA
ZIP 19106-423
Phone: (215) 829-5000
Fax: (215) 627-0578

The NPI 1225188840 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of one arm arteries or artery grafts (HCPCS:93931)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Revision of hemodialysis graft (HCPCS:36832)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 1/12/2007 and was last updated on 9/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryMD646443LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10013019490001MEDICAIDPENNSYLVANIA
2720059G3EMEDICARE ID-TYPE UNSPECIFIED
3E54795MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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