Mark J. Dougherty, MD
Infectious Disease Physician · Lexington, KY
Mark J. Dougherty, MD is an infectious disease physician with a practice address in Lexington, Kentucky, and NPI 1326049628, issued on Aug 9, 2005. Check the license (Kentucky 25733, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Mark J. Dougherty
- Credential
- MD
- Primary taxonomy
- Infectious Disease Physician 207RI0200X
- License number
- 25733 KY
Self-reported in NPPES; status is on the state search - Practice location
- 1720 Nicholasville RD, Lexington, KY 40503
- Phone
- (859) 277-4005
- Enumerated
- Aug 9, 2005
- Record last updated
- Mar 4, 2008 (not updated in 18 years: call before relying on the address or phone)
- Fax
- (859) 278-2507
- Medicaid ID
- 64257330 KY
- Medicare enrollment
- Enrolled (PECOS I20100216000582); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest infectious disease physician records → All 111 in Kentucky → Look up another NPI →
Also registered at 1720 Nicholasville RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Bassam Abu-Khalil, MDSpecialist1184687501
- Marty Allen, M.D.Infectious Disease Physician1639217391
- Richard Austin, PA-CSurgical Physician Assistant1396796421
- Firas Badin, M.D.Hematology & Oncology Physician1588828693
- Jamie Black, PA-CSurgical Physician Assistant1386695419
- William Boliek, M.D.Cardiovascular Disease Physician1841232436
Verify Mark J. Dougherty in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 25733Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3% fewer Medicare Part D claims than the average infectious disease physician in 2024
667 Medicare Part D claims for 191 beneficiaries, against an average of 689 among the 7,388 providers of this specialty who prescribed in Part D. Brand-name drugs were 22% of claims.
Most prescribed
- Doxycycline Hyclate79 claims
- Amoxicillin45 claims
- Amoxicillin-Clavulanate Potass44 claims
- Sulfamethoxazole-Trimethoprim41 claims
- Triumeq40 claims
- Biktarvy23 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): 83.8 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).
Industry payments in 2024: $2,021.34
89 payments; by number, the most common kind was food and beverage; the largest payer was Gilead Sciences, Inc. The 3,895 providers of this specialty with any payment received $4,362.19 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Lexington Infectious Disease Consultants PscLexington, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark J. Dougherty among 111 infectious disease physician records in Kentucky
Mark J. Dougherty, MD is one of 111 infectious disease physician records with a practice address in Kentucky. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 84% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated1983 · median 2004 among the 81 with a school on file
- Record last updated2008 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0200X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Infectious Disease Physician providers in Kentucky
There are 111 infectious disease physician records in Kentucky.
All 111 in Kentucky → Every provider in Lexington → Infectious Disease Physician nationwide →
The 8 infectious disease physician records with the nearest ZIP codes
- Andrew Alexander, MDLexington, KY 405031942566807
- Marty Allen, M.D.Lexington, KY 405031639217391
- Andrea Banks, MDLexington, KY 405031083836399
- David Dougherty, M.D.Lexington, KY 405031104261445
- Charles Kennedy, MDLexington, KY 405031033110150
- John Meek, MDLexington, KY 405031891796298
- Michael Miedler, MDLexington, KY 405031548261837
- Elizabeth Piercy, MDLexington, KY 405031437150703
Common questions
What is Mark J. Dougherty, MD's NPI number?
Mark J. Dougherty, MD's National Provider Identifier (NPI) is 1326049628, issued on Aug 9, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Mark J. Dougherty, MD located?
The NPPES record lists a practice address at 1720 Nicholasville RD, Lexington, KY, 40503. Phone: (859) 277-4005. Providers update this record themselves, so call before visiting.
How can I verify Mark J. Dougherty, MD's license?
NPPES lists Kentucky license number 25733, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Mark J. Dougherty, MD prescribe under Medicare Part D?
In 2024, Mark J. Dougherty, MD had 667 Medicare Part D claims for 191 beneficiaries; the average among infectious disease physician prescribers was 689. Part D covers Medicare prescriptions only.
What is Mark J. Dougherty, MD's MIPS final score?
The 2023 MIPS final score is 83.8 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.