Robert Dougherty, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG004062 Issued in PA

Practice address

126 W Front St
Berwick, PA 18603-4702

Phone

(570) 752-7458

NPI assigned

Aug 1, 2023

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Sandra M Krokos and Thomas P Kislan PCGroup PAC ID 6406842202, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.08 of 100Reported as group

Quality

85.29

Promoting interoperability

100

Improvement activities

40

Cost

64.98

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.dougherty@vip.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Sandra M Krokos & Thomas P Kislan PC

  • Optometrist
  • Tannersville, PA
  • NPI 1487784005
  Medicare reassignment Care Compare group NPD
• DRS Sandra M Krokos & Thomas P Kislan PC

  dba Pottsville Eye Specialists

  • Optometrist
  • Pottsville, PA
  • NPI 1518579671
  NPD
• DRS Sandra M Krokos & Thomas P Kislan PC

  dba Bangor Eye Specialists

  • Optometrist
  • Tannersville, PA
  • NPI 1609634799
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1386326395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TILLER RD",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W FRONT ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186034702",
            "telephone_number": "570-752-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Berwick, PA
• Providers in Berwick, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.