Colleen Marie Dougherty

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NPI Number Detailed Information

Provider Information:

Name:	Colleen Marie Dougherty
Gender:	F
Provider License Number If Given:	SP017680

NPI Information:

NPI:	1609392117
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	8/16/2017
Last Update Date:	12/10/2020

Provider Business Mailing Address:

Address:	836 N IRVING AVE Scranton, PA 18510
Phone Number:	5703357222
Fax Number:

Provider Business Practice Location Address:

Address:	5 S WASHINGTON AVE Jermyn, PA 18433
Phone Number:	5702300019
Fax Number:	2702300013

Provider Taxonomy:

Primary:	363LF0000X
Secondary (if any):
State:	PA

Top Doctors in PA

About Colleen Marie Dougherty

Colleen Marie Dougherty ( COLLEEN MARIE DOUGHERTY ) is Definition Nurse Practitioner Physician in Jermyn, PA. The NPI Number for Colleen Marie Dougherty is 1609392117.

The current location address for Colleen Marie Dougherty is 5 S WASHINGTON AVE Jermyn, PA 18433 and the contact number is 5703357222 and fax number is . The mailing address for Colleen Marie Dougherty is 836 N IRVING AVE Scranton, PA 18510- 5702300019 (mailing address contact number - 5703357222).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Colleen Marie Dougherty ?

Answer: The NPI Number for Colleen Marie Dougherty is 1609392117

Where is Colleen Marie Dougherty located?

Answer: Colleen Marie Dougherty is located at 5 S WASHINGTON AVE Jermyn, PA 18433.

What is the specialty for Colleen Marie Dougherty ?

Answer: The Specialty of Colleen Marie Dougherty is Definition Nurse Practitioner Physician.

Are there any online reviews for Colleen Marie Dougherty ?

Answer: Not yet!

Are there any other health care providers in Jermyn, PA?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Colleen Marie Dougherty

Number of HCPCS	18
Number of Medicare Beneficiaries	84
Number of Services	142
Total Submitted Charge Amount	6343
Total Medicare Allowed Amount	3715.61
Total Medicare Payment Amount	3662.76
Total Medicare Standardized Payment Amount	3585.2
Drug Suppress Indicator	*
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator	#
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries	67
Number of Beneficiaries Age Less 65	24
Number of Beneficiaries Age 65 to 74	36
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	49
Number of Male Beneficiaries	35
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	25
Number of Beneficiaries With Medicare Only Entitlement	59
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.13
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure	0.14
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.3
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.15
Percent (%) of Beneficiaries Identified With Depression	0.3
Percent (%) of Beneficiaries Identified With Diabetes	0.4
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.65
Percent (%) of Beneficiaries Identified With Hypertension	0.67
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.37
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.46
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.0849

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	1494
Number of Standardized 30-Day Fills	2022.7333333
Aggregate Cost Paid for All Claims	90253.94
Number of Day's Supply for All Claims	55603
Number of Medicare Beneficiaries	265
Number of Claims, Including Refills, for Beneficiaries Age 65+	1082
Including Refills, for Beneficiaries Age 65+	1485.7333333
Beneficiaries Age 65+	75203.96
Number of Day's Supply for All Claims for Beneficaries Age 65+	41346
Number of Medicare Beneficiaries Age 65+	181
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	201
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	1276
Aggregate Cost Paid for Generic Drugs	21331.44
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	17
Aggregate Cost Paid for Other Drugs	1043.86
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	659
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	51267.46
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	835
Aggregate Cost Paid for Claims Filled by	38986.48
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	686
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	54608.99
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	808
by Low-Income Subsidy	35644.95
Total Claims of Opioid Drugs, Including	59
Aggregate Cost Paid for Opioid Drugs	892.73
Opioid Claims	22
Opioid_Tot_Clms divided by the Tot_Clms	3.9491298527
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	73
Aggregate Cost Paid for Antibiotic Drugs	1024.64
Antibiotic Claims	59
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	68.098113208
Number of Beneficiaries Age Less Than 65	84
Number of Beneficiaries Age 65 to 74	92
Number of Beneficiaries Age 75 to 84	64
Number of Female Beneficiaries	174
Number of Male Beneficiaries	91
Number of Non-Hispanic White	247
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	155
Average Hierarchical Condition Category	1.252581801

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