Individual provider Active NPI

Joseph Ward Dougherty, M.D.

  • Surgery Physician
  • Bar Harbor, ME
National Provider Identifier
1790911550
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD21005 Issued in ME
Practice address
17 Hancock St
Bar Harbor, ME 04609-1714
Phone
(207) 801-5300
NPI assigned
Jun 8, 2009
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD21005 ME Primary

Addresses

Primary practice location

17 Hancock St
Bar Harbor, ME 04609-1714

Mailing address

17 Hancock St
Bar Harbor, ME 04609-1714
Phone (207) 801-5300

Other practice location 1

10 Wayman Ln
Bar Harbor, ME 04609-1625
Phone (207) 288-5081

Other practice location 2

394 Bar Harbor Rd
Trenton, ME 04605-5807
Phone (207) 667-5899

Other identifiers 3

IdentifierTypeStateIssuer
A104333OtherCAMEDICAL BOARD OF CALIFORNIA
60776OtherAMERICAN BOARD OF SURGERY
MD21005OtherMEBOARD OF LICENSURE IN MEDICINE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.dougherty@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111025000037 CA Practitioner - General Practice 3779756457 Reassigns benefits to 2 organizations
I20150612001084 ME Practitioner - General Surgery 3779756457 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Desert Island HospitalGroup PAC ID 0941250963, 61 clinicians

Practice addresses (Care Compare)

17 Hancock St
Bar Harbor, ME 04609-1714
Phone (207) 801-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD21005MEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Desert Island Hospital CurrentSince Mar 13, 2023 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 14, 2011 Accepting new patients
Mainegeneral Medical Center CurrentSince Jun 19, 2017 Accepting new patients
Mainegeneral Medical Center CurrentSince Jun 19, 2017 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Jun 19, 2016 Accepting new patients
Mount Desert Island Hospital CurrentSince Mar 13, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery PastSince Jul 2, 2023 Accepting new patients
Surgical Affiliates of California Surgery PastSince Apr 1, 2019 Accepting new patients

Locations

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8695

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

10 Wayman Ln
Bar Harbor, ME 04609
Phone (207) 288-5082

17 Hancock St
Bar Harbor, ME 04609
Phone (207) 288-5024

322 Main St
Bar Harbor, ME 04609
Phone (207) 288-5082

394 Bar Harbor Rd
Trenton, ME 04605
Phone (207) 667-5899

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
  • Direct secure messaging: jdougherty19373@directmcleodehealth.org
  • Direct secure messaging: joseph.dougherty@mpaii.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1790911550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HANCOCK ST",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091714",
            "telephone_number": "207-801-5300",
            "fax_number": "207-801-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HANCOCK ST",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091714",
            "telephone_number": "207-801-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Wayman Ln",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046091625",
            "country_code": "US",
            "telephone_number": "207-288-5081",
            "fax_number": "207-288-8620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "394 Bar Harbor Rd",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "ME",
            "postal_code": "046055807",
            "country_code": "US",
            "telephone_number": "207-667-5899",
            "fax_number": "207-801-5123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "JOSEPH",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD21005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A104333",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF SURGERY",
            "identifier": "60776",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF LICENSURE IN MEDICINE",
            "identifier": "MD21005",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.dougherty@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "705 N 8th Ave Ste 2B",
            "city": "Dillon",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295362549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bar Harbor, ME

Sources for this page

Verify at the official NPI Registry.