SIMON FRANCIS DOUGHERTY PA-C NPI 1780660761

NPI Information

  • NPI: 1780660761
  • Provider Name: SIMON FRANCIS DOUGHERTY, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 255 N HERWALDT DR
    FRESNO, CA
    ZIP 93701
  • Phone: (559) 459-7300

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NPI Details

Simon Francis Dougherty, PA-C is a surgical physician assistant in Fresno, CA with 22 years of experience. Simon Francis Dougherty, PA-C NPI is 1780660761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

255 N HERWALDT DR
FRESNO, CA
ZIP 93701-186
Phone: (559) 459-7300
Fax: (559) 459-3750

The NPI 1780660761 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.

  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Release of middle or lower spinal cord and/or nerves, single segment (HCPCS:63057)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Fusion of additional segment of spine with partial removal of spine bone and disc (HCPCS:22634)
  • Incision or removal of spine bone segment, each additional segment (HCPCS:22216)
  • Release of lower spinal cord and/or nerves, single segment (HCPCS:63056)
  • Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
  • Incision or removal of lower spine bone segment (HCPCS:22214)
  • Harvest of bone fragment for spine bone graft (HCPCS:20937)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Fusion of additional segment of spine (HCPCS:22614)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc (HCPCS:22552)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
  • Removal of segmental stabilizing device from back of spine (HCPCS:22852)
  • Removal of spine bone for insertion of neurostimulator electrode plate in spine (HCPCS:63655)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Partial removal of spine bone with exploration and/or release of middle spinal cord or nerves, 1-2 segments (HCPCS:63003)
  • Exploration of spine fusion (HCPCS:22830)
  • Partial removal of spine bone with release of lower spinal cord or nerves (HCPCS:63012)
  • Placement of stabilizing device to front, 4-7 spine bone segments (HCPCS:22846)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)

The enumeration date for this NPI number is 12/21/2005 and was last updated on 6/30/2014.

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
1363A00000XPhysician AssistantPA17805CALIFORNIANo
2363AS0400XPhysician AssistantSurgicalPA17805CALIFORNIAYes

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
1Q40851MEDICARE UPINCALIFORNIA

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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