2026 NPPES data Family Medicine Physician NPI 1629188750 M.D.
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JAMES DOUGHERTY, M.D.

Family Medicine Physician in WILLISTON, Vermont. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
5K
Medicare Part D claims · 371 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: JAMES DOUGHERTY, M.D. is a Family Medicine Physician ([object Object]) practicing in WILLISTON, Vermont with a Medicare Part D prescribing footprint of 5K claims across 371 beneficiaries — 8% brand-name prescribing .

What stands out: JAMES DOUGHERTY, M.D. filed 5,255 Medicare Part D claims in 2023 across WILLISTON, Vermont. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES DOUGHERTY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JAMES DOUGHERTY, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 08/30/2006

NPI 1629188750

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

5,255 54% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Vermont

How Family Medicine Physician compares to other specialties among Vermont providers

Vermont providers

Family Medicine Physician share within Vermont

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Vermont

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JAMES DOUGHERTY, M.D. is a Family Medicine Physician provider practicing in WILLISTON, Vermont, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1629188750. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES DOUGHERTY, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 28 PARK AVE, WILLISTON, VT, 05495, with a listed phone of (802) 878-1008. NPI 1629188750 was issued on 08/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOUGHERTY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 5,255 prescription claims written by this provider, covering 371 Medicare beneficiaries and totaling roughly $518K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 3.3%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

28 PARK AVE
WILLISTON, VT 05495

Provider Details

NPI 1629188750
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 08/30/2006

Hospital and facility affiliations

Facilities where JAMES DOUGHERTY, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

EVERGREEN FAMILY HEALTH PARTNERS
Williston, VT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

JAMES DOUGHERTY, M.D. — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 5,255 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

5,255
Total Claims
$518K
Total Drug Cost
371
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,492
Total Day Supply
367,305
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$391K
Generic Drug Cost
$125K
Opioid Claims
175 (3.3% rate)
Antibiotic Claims
124

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
0.84
Gender Split
37% female / 63% male
Age Distribution
<65: 21, 65-74: 193, 75-84: 119, 85+: 38

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
335
Amlodipine Besylate
252
Lisinopril
221
Omeprazole
204
Losartan Potassium
179
Rosuvastatin Calcium
169
Metoprolol Succinate
138
Tamsulosin Hcl
131
Metformin Hcl
126
Hydrochlorothiazide
124

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How JAMES DOUGHERTY, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

JAMES DOUGHERTY, M.D.'s 5,255 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Vermont

Other clinicians with the same primary specialty enrolled in Vermont, drawn from the same CMS NPPES roster as DOUGHERTY.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES DOUGHERTY, M.D.'s specialty?
JAMES DOUGHERTY, M.D. specializes in Family Medicine Physician and practices in WILLISTON, Vermont. Credentials: M.D..
How much does JAMES DOUGHERTY, M.D. prescribe under Medicare Part D?
In 2023, JAMES DOUGHERTY, M.D. wrote 5,255 Medicare Part D claims totaling $518K in drug costs for 371 beneficiaries.
Where is JAMES DOUGHERTY, M.D. located?
JAMES DOUGHERTY, M.D. is located at 28 PARK AVE, WILLISTON, VT, 05495. Phone: (802) 878-1008.
What is JAMES DOUGHERTY, M.D.'s NPI number?
JAMES DOUGHERTY, M.D.'s National Provider Identifier (NPI) is 1629188750, issued on 08/30/2006.
Does JAMES DOUGHERTY, M.D. prescribe more brand-name or generic drugs?
JAMES DOUGHERTY, M.D.'s prescribing is 8% brand-name and 92% generic drugs by claim count, with $391K in brand drug costs.
Does JAMES DOUGHERTY, M.D. prescribe opioids?
Yes, JAMES DOUGHERTY, M.D. had 175 opioid claims in 2023 with an opioid prescribing rate of 3.3%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does JAMES DOUGHERTY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES DOUGHERTY, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES DOUGHERTY, M.D. accept Medicare?
JAMES DOUGHERTY, M.D. appears in CMS Medicare data with 5,255 Part D claims and 371 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES DOUGHERTY, M.D.'s credentials?
JAMES DOUGHERTY, M.D.'s NPI is 1629188750 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology