DR. CAROLYN MAUD DOHERTY M.D.
NPI 1427163609
Obstetrics & Gynecology - Reproductive Endocrinology in Elkhorn, NE
NPI Status: Active since August 20, 2006
Contact Information
717 N 190TH PLZ
SUITE # 2500
ELKHORN, NE
ZIP 68022
Phone: (402) 815-1915
Fax: (402) 815-1065
- Individual
- Female
- Years of Experience 40
- Obstetrics & Gynecology
- Reproductive Endocrinology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CAROLYN MAUD DOHERTY
This page provides the complete NPI Profile along with additional information for Carolyn Maud Doherty, a women's health care provider established in Elkhorn, Nebraska with a medical specialization in Obstetrics & Gynecology, focusing in reproductive endocrinology and more than 40 years of experience. She graduated from Sanford School Of Medicine Of University Of South Dakota in 1986. The healthcare provider is registered in the NPI registry with number 1427163609 assigned on August 2006. The practitioner's primary taxonomy code is 207VE0102X with license number 18934 (NE). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1427163609
- Provider Name
- DR. CAROLYN MAUD DOHERTY M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 717 N 190TH PLZ SUITE # 2500 ELKHORN, NE 68022
- Location Phone
- (402) 815-1915
- Location Fax
- (402) 815-1065
- Mailing Address
- PO BOX 2797 OMAHA, NE 68103
- Mailing Phone
- (402) 354-4230
- Mailing Fax
- (402) 815-1065
- Medical School Name
- SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
- Graduation Year
- 1986
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-20-2006
- Last Update Date
- 12-17-2013
- Code Navigator
Women's health care providers like Carolyn Maud Doherty treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Reproductive Endocrinology
- Taxonomy Code
- 207VE0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 18934
- License State
- NE
- Taxonomy Description
- An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
- Elevate by Medica Bronze $0 Copay PCP Visits - EPO
- Elevate by Medica Bronze Share - EPO
- Elevate by Medica Expanded Bronze Standard - EPO
- Elevate by Medica Gold $0 Copay PCP Visits - EPO
- Elevate by Medica Gold Share - EPO
- Elevate by Medica Gold Standard - EPO
- Elevate by Medica Silver $0 Copay PCP Visits - EPO
- Elevate by Medica Silver Share - EPO
- Elevate by Medica Silver Standard - EPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Bronze Classic - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
- Secure - EPO
- Secure | MercyOne - EPO
- Silver Classic - EPO
- Silver Classic | MercyOne - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | MercyOne - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | MercyOne - EPO
- Silver Simple PCP Saver - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - EPO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10024995600 | MEDICAID (05) | NE | |
| 90871 | MEDICAID (05) | IA | |
| 266362 | MEDICARE PIN (08) | NE | |
| E18773 | MEDICARE UPIN (02) | ||
| 1427163609 | MEDICAID (05) | IA |
Medicare Participation & PECOS Enrollment Status
Carolyn Maud Doherty is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Carolyn Maud Doherty is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6800956251
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20081115000129
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.33 for a new patient copayment and $23.38 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 68022 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.35
- Minimum New Patient Price $52.69
- Maximum New Patient Price $160.21
- Average New Patient Copayment $30.33
- Minimum New Patient Copayment $13.17
- Maximum New Patient Copayment $40.05
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.55
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $131.25
- Average Established Patient Copayment $23.38
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.81
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Carolyn Maud Doherty is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| THE NEBRASKA METHODIST HOSPITAL | 8303 DODGE ST OMAHA, NE 68114 | (402) 354-4000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 1 | 6 | 3 | 6 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 2 | 6 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 2 + 6 + 6 + 6 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1427163609 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407179781 | PHYSICIANS CLINIC, INC. Organization | Durable Medical Equipment & Medical Supplies | 717 N 190TH PLZ ELKHORN, NE 68022 (402) 815-1700 |
| 1386936326 | MICHELE L NORTH APRN-CNM Individual | Advanced Practice Midwife | 717 N 190TH PLZ STE. 1500 ELKHORN, NE 68022 (402) 815-1700 |
| 1861437907 | HEMANT KUMAR SATPATHY M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 717 N 190TH PLZ SUITE 2400 ELKHORN, NE 68022 (402) 815-1970 |
| 1386758761 | ROBERT G. BONEBRAKE M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 717 N 190TH PLZ SUITE 2400 ELKHORN, NE 68022 (402) 815-1970 |
| 1881701522 | DR. MICHAEL G LEVINE M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 717 N 190TH PLZ SUITE # 2400 ELKHORN, NE 68022 (402) 815-1970 |
| 1740390947 | DR. ANDREW W ROBERTSON M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 717 N 190TH PLZ SUITE 2400 ELKHORN, NE 68022 (402) 815-1970 |
| 1497982086 | TODD R. LOVGREN MD Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 717 N 190TH PLZ SUITE 2400 ELKHORN, NE 68022 (402) 815-1970 |
| 1104938786 | DR. JOAN E QUINN M.D. Individual | Family Medicine | 717 N 190TH PLZ STE. 3200 ELKHORN, NE 68022 (402) 815-1980 |
| 1134326572 | JENNIFER CATHERINE REISER M.D. Individual | Pediatrics | 717 N 190TH PLZ ELKHORN, NE 68022 (402) 815-1325 |
| 1306077078 | DR. LINDSAY CAROLYN NORTHAM M.D. Individual | Internal Medicine | 717 N 190TH PLZ STE. 3200 ELKHORN, NE 68022 (402) 815-1960 |
| 1538367040 | BRENDAN D CONNEALY M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 717 N 190TH PLZ SUITE 2400 ELKHORN, NE 68022 (402) 815-1970 |
| 1346355146 | DR. LAURA A FRIGYES M.D. Individual | Internal Medicine | 717 N 190TH PLZ STE.3200 ELKHORN, NE 68022 (402) 815-1980 |
| 1629124888 | DR. JOSHUA D DAHLKE M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 717 N 190TH PLZ SUITE 2400 ELKHORN, NE 68022 (402) 815-1970 |
| 1417901562 | MICHELLE LYNN SHELLHAAS PT Individual | Physical Therapist | 717 N 190TH PLZ SUITE 2000 ELKHORN, NE 68022 (402) 815-2061 |
| 1093822751 | DR. JOHN R LOHRBERG M.D. Individual | Family Medicine | 717 N 190TH PLZ STE 3200 ELKHORN, NE 68022 (402) 815-1960 |
| 1043321904 | ANNAMARIA NAGY M.D. Individual | Obstetrics & Gynecology | 717 N 190TH PLZ STE 1100 ELKHORN, NE 68022 (402) 815-1700 |
| 1306282215 | AMELA HODZIC ARNP Individual | Nurse Practitioner | 717 N 190TH PLZ STE 3200 ELKHORN, NE 68022 (402) 815-1960 |
| 1386697068 | REBECCA LEE JACOBI M.D. Individual | Obstetrics & Gynecology | 717 N 190TH PLZ STE. # 1100 ELKHORN, NE 68022 (402) 815-1700 |
| 1912010950 | DR. CRAIG A BASSETT M.D. Individual | Obstetrics & Gynecology | 717 N 190TH PLZ STE. # 1100 ELKHORN, NE 68022 (402) 815-1700 |
| 1588771901 | DR. MICHELLE S KNOLLA M.D. Individual | Obstetrics & Gynecology | 717 N 190TH PLZ STE. # 1100 ELKHORN, NE 68022 (402) 815-1700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427163609, enumerated in the NPI registry as an "individual" on August 20, 2006
The provider is located at 717 N 190th Plz Suite # 2500 Elkhorn, Ne 68022 and the phone number is (402) 815-1915
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207VE0102X with a focus in Reproductive Endocrinology
The provider has more than 40 years of experience. She graduated from Sanford School Of Medicine Of University Of South Dakota in 1986.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $121.35 with an average copayment of $30.33 for new patient appointments. Established patients should expect a typical charge of $93.55 and an average copayment of 23.38. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): THE NEBRASKA METHODIST HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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