DR. MICHAEL D DOUGHERTY D.D.S.
NPI 1790745461
Dentist - General Practice in Aurora, CO
NPI Status: Active since March 25, 2006
Contact Information
1550 S POTOMAC ST
SUITE 220
AURORA, CO
ZIP 80012
Phone: (303) 369-1069
Fax: (303) 369-1063
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
About MICHAEL DOUGHERTY
This page provides the complete NPI Profile along with additional information for Michael Dougherty, a provider established in Aurora, Colorado with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1790745461 assigned on March 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 350 (CO). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1790745461
- Provider Name
- DR. MICHAEL D DOUGHERTY D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1550 S POTOMAC ST SUITE 220 AURORA, CO 80012
- Location Phone
- (303) 369-1069
- Location Fax
- (303) 369-1063
- Mailing Address
- 1550 S POTOMAC ST SUITE 220 AURORA, CO 80012
- Mailing Phone
- (303) 369-1069
- Mailing Fax
- (303) 369-1063
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-25-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Michael Dougherty is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
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
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 350
- License State
- CO
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Michael Dougherty 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) and a Home Health Agency (HHA).
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
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: No
Physician Visit Costs
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 80012 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.43
- Minimum New Patient Price $58.06
- Maximum New Patient Price $174.82
- Average New Patient Copayment $22.35
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $43.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.2
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.79
- Average Established Patient Copayment $18.05
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.69
* 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.
Reviews for DR. MICHAEL D DOUGHERTY D.D.S.
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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 | 7 | 9 | 0 | 7 | 4 | 5 | 4 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 4 | 10 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 4 + 1 + 0 + 4 + 1 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1790745461 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1629078993 | ROCKY MOUNTAIN INFECTIOUS DISEASE SPECIALISTS, P.C. Organization | Preferred Provider Organization | 1550 S POTOMAC ST SUITE 270 AURORA, CO 80012 (303) 750-1800 |
| 1750382263 | MARTIN D HANNEMANN M.D. Individual | Family Medicine | 1550 S POTOMAC ST STE. 370 AURORA, CO 80012 (303) 369-1080 |
| 1811998289 | MARK H NATHANSON D.O. Individual | Family Medicine | 1550 S POTOMAC ST STE 370 AURORA, CO 80012 (303) 369-1080 |
| 1275534646 | ANDREW G SARKA MD Individual | Family Medicine | 1550 S POTOMAC ST STE 370 AURORA, CO 80012 (303) 369-1080 |
| 1346235439 | DR. GORDON KENNETH DEAGMAN M.D. Individual | Internal Medicine | 1550 S POTOMAC ST AURORA, CO 80012 (303) 755-1164 |
| 1013903707 | DR. GEORGE S.L. CHIN MD Individual | Specialist | 1550 S POTOMAC ST SUITE 235 AURORA, CO 80012 (303) 369-8088 |
| 1124089107 | DR. MARK P BERLAND DO Individual | Obstetrics & Gynecology (Gynecology) | 1550 S POTOMAC ST SUITE 135 AURORA, CO 80012 (303) 369-1019 |
| 1376599944 | ROBERT R ROKICKI M.D. Individual | Orthopaedic Surgery | 1550 S POTOMAC ST SUITE 250 AURORA, CO 80012 (303) 750-1022 |
| 1760421218 | THOMAS P MCDONOUGH M.D. Individual | Orthopaedic Surgery | 1550 S POTOMAC ST SUITE 250 AURORA, CO 80012 (303) 750-1022 |
| 1285654137 | KENNETH C. MANFRE M.D. Individual | Obstetrics & Gynecology | 1550 S POTOMAC ST ST 170 AURORA, CO 80012 (303) 671-0808 |
| 1649365677 | AURORA INTERNAL MED ASSO Organization | Internal Medicine | 1550 S POTOMAC ST STE 360 AURORA, CO 80012 (303) 369-1033 |
| 1730232414 | ALL CARE FAMILY PRACTICE PROF LLC Organization | Family Medicine | 1550 S POTOMAC ST SUITE 235 AURORA, CO 80012 (720) 748-4000 |
| 1912049792 | MR. JERRY JOSHUA KOPELMAN M.D. Individual | Obstetrics & Gynecology | 1550 S POTOMAC ST SUITE 340 AURORA, CO 80012 (303) 797-7227 |
| 1255461000 | ROBERT M. SCHWAGER, MD, PC Organization | Otolaryngology | 1550 S POTOMAC ST SUITE 175 AURORA, CO 80012 (303) 915-7773 |
| 1619160462 | BRUCE D SCHACHTERLE HEARING ASSOCIATES Organization | Audiologist | 1550 S POTOMAC ST STE 305 AURORA, CO 80012 (303) 369-1096 |
| 1841485117 | DRS REICH & EHRICHS PC Organization | Surgery | 1550 S POTOMAC ST SUITE 350 AURORA, CO 80012 (303) 369-1066 |
| 1194993535 | RICHARD G.LUZIETTI M.D. P.C. Organization | Internal Medicine (Allergy & Immunology) | 1550 S POTOMAC ST SUITE 380 AURORA, CO 80012 (720) 748-2900 |
| 1720250483 | SOPHIA GHEBREMICAEL MEHARENA DO Individual | Pediatrics | 1550 S POTOMAC ST SUITE 130 AURORA, CO 80012 (303) 360-8111 |
| 1699940833 | MRS. JULIE GRACE TRUJILLO PA-C Individual | Physician Assistant | 1550 S POTOMAC ST SUITE 180 AURORA, CO 80012 (303) 369-1077 |
| 1326201989 | JACOB TINGLUM M.A. Individual | Audiologist-Hearing Aid Fitter | 1550 S POTOMAC ST SUITE 175 AURORA, CO 80012 (303) 369-3277 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790745461, enumerated in the NPI registry as an "individual" on March 25, 2006
The provider is located at 1550 S Potomac St Suite 220 Aurora, Co 80012 and the phone number is (303) 369-1069
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. 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) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $89.43 with an average copayment of $22.35 for new patient appointments. Established patients should expect a typical charge of $72.2 and an average copayment of 18.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 25, 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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