John Joseph Dougherty, M.D.
Obstetrics Physician · West Reading, PA
John Joseph Dougherty, M.D. is an obstetrics physician with a practice address in West Reading, Pennsylvania, and NPI 1902870371, issued on Feb 14, 2006. Check the license (Pennsylvania MD427331, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- John Joseph Dougherty
- Credential
- M.D.
- Primary taxonomy
- Obstetrics Physician 207VX0000X
- License number
- MD427331 PA
Self-reported in NPPES; status is on the state search - Practice location
- 420 S 5TH Ave, West Reading, PA 19611
- Phone
- (484) 628-8827
- Enumerated
- Feb 14, 2006
- Record last updated
- Oct 3, 2025
- Medicaid ID
- 101528820 PA
- Medicare enrollment
- Enrolled (PECOS I20051107000339); accepts Medicare assignment
- Medical or professional school
- Hahnemann University College Of Medicine, 1996
- Entity
- Type 1 · individual
8 nearest obstetrics physician records → All 48 in Pennsylvania → Look up another NPI →
Also registered at 420 S 5TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Paul Adeyemi, DPMFoot & Ankle Surgery Podiatrist1295621795
Verify John Joseph Dougherty in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD427331Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
68% fewer Medicare Part D claims than the average obstetrics physician in 2024
70 Medicare Part D claims for 27 beneficiaries, against an average of 218 among the 863 providers of this specialty who prescribed in Part D. Brand-name drugs were 31% of claims.
Most prescribed
- Premarin17 claims
- Medroxyprogesterone Acetate16 claims
- Estradiol11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 71.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Tower Health Medical GroupWyomissing, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John Joseph Dougherty among 48 obstetrics physician records in Pennsylvania
John Joseph Dougherty, M.D. is one of 48 obstetrics physician records with a practice address in Pennsylvania. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 58% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated1996 · median 2006 among the 29 with a school on file
- Record last updated2025 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207VX0000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Obstetrics Physician providers in Pennsylvania
There are 48 obstetrics physician records in Pennsylvania.
All 48 in Pennsylvania → Every provider in West Reading → Obstetrics Physician nationwide →
The 8 obstetrics physician records with the nearest ZIP codes
- Jean Payer, M.D.West Reading, PA 196111053384651
- Jeanie Yuh, M.D.Lansdale, PA 194461992966147
- Christine Kansky, MDWest Chester, PA 193801972922128
- Jill Pinover, CNMPhiladelphia, PA 191431942527619
- Yarini Quezada, M.D.Philadelphia, PA 191411083875652
- Paige Rowland, CNMPhiladelphia, PA 191411427586650
- Sravanthi Gutta, MDPhiladelphia, PA 191401285127720
- Kyra Williams, MDPhiladelphia, PA 191041124090485
Common questions
What is John Joseph Dougherty, M.D.'s NPI number?
John Joseph Dougherty, M.D.'s National Provider Identifier (NPI) is 1902870371, issued on Feb 14, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John Joseph Dougherty, M.D. located?
The NPPES record lists a practice address at 420 S 5TH Ave, West Reading, PA, 19611. Phone: (484) 628-8827. Providers update this record themselves, so call before visiting.
How can I verify John Joseph Dougherty, M.D.'s license?
NPPES lists Pennsylvania license number MD427331, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John Joseph Dougherty, M.D. prescribe under Medicare Part D?
In 2024, John Joseph Dougherty, M.D. had 70 Medicare Part D claims for 27 beneficiaries; the average among obstetrics physician prescribers was 218. Part D covers Medicare prescriptions only.
What is John Joseph Dougherty, M.D.'s MIPS final score?
The 2023 MIPS final score is 71.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.