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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Dougherty
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    Mark Dougherty — Billing Profile & Reimbursement Data

    NPI 1427016542 · Peabody, MA · Anesthesiology Physician

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    Mark Dougherty is a anesthesiology physician provider located in Peabody, Massachusetts. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Dougherty
    Address1 Orthopedics Dr
    CityPeabody
    StateMA
    ZIP01960
    TaxonomyAnesthesiology Physician
    NPI EnumeratedMay 1, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$31.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01938The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the lumbar or sacral spine or spinal cord.90$80$7.6K
    01810The provider performs anesthesia services for a patient undergoing any procedures on the nerves, muscles, tendons, fascia, and bursae of the forearm, wrist, and hand.50$90$4.1K
    01630The provider performs anesthesia services for a patient undergoing an open or arthroscopic procedure to the humeral head and neck, sternoclavicular, acromioclavicular, and shoulder joints.20$210$3.6K
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.10$270$3K
    01940The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is…30$90$2.4K
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…20$110$2K
    01400The provider performs anesthesia services for a patient undergoing an open or arthroscopic procedure on the knee joint.10$170$1.8K
    01830The provider performs anesthesia services for a patient undergoing procedures on the distal radius, distal ulna, wrist, or hand joints. The provider may perform the procedure by using an open…10$130$1.8K
    01480The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.10$140$1.7K
    00640The provider performs anesthesia services for a patient undergoing a manipulation of the spine or for a closed procedure on the cervical, thoracic, or lumbar spine.20$70$1.5K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0140239844020$170$4K
    008117471,06030$70$2.9K
    01940102020$90$2.7K
    01630175020$140$2.6K
    0193833020$70$2.4K
    01830163010$80$1.6K
    014807912010$90$1.4K
    01400334020$80$1.4K
    018101625020$60$1.3K
    0064011020$60$1.3K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mark Dougherty, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Medical Center, Inc.MAGeneral Acute Care Hospital$0$137.7M
    Mass General Brigham Medical Group Northern Massachusetts IncMAEmergency Medicine Physician$0$30.2M
    North Shore Medical Center, Inc.MAPsychiatric Hospital Unit$0$9.8M
    Roberto FelizMAAnesthesiology Physician$460.2K$260
    Paul MarsigliaILPain Medicine (Anesthesiology) Physician$452.4K$0
    James McintyreMARadiation Oncology Physician$327.2K$0
    Frederic GergesMAInterventional Pain Medicine Physician$285.1K$880
    Maher El KhatibRIAnesthesiology Physician$113.2K$163.7K
    Emad YounanMAPain Medicine (Anesthesiology) Physician$275.7K$0
    David RabinMACardiovascular Disease Physician$247.3K$630

    Nearby Providers

    Other providers in the same ZIP code as Mark Dougherty, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Able Home Care L.L.C.MAHome Health Agency$0$42.7M
    Cab Health & Recovery Services, Inc.MACommunity/Behavioral Health Agency$0$30.3M
    Shore Educational CollaborativeMADevelopmentally Disabled Services Day Training Agency$0$18.6M
    Rainbow Adult Day Center IncMAAdult Care Home Facility$0$10.6M
    Vine Homecare & Staffing, Inc.MAHome Health Agency$0$9.2M
    Ideal Health Care System, IncMAHome Health Agency$0$6.6M
    Massbay Home Care, Inc.MAIn Home Supportive Care Agency$0$5.6M
    Namrata NandakumarMAOphthalmology Physician$2.2M$0
    Orthopedics Surgical Center Of The North Shore LLCMAAmbulatory Surgical Clinic/Center$1.6M$285.4K
    Michael IndelicatoMARheumatology Physician$1.4M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Mark Dougherty — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts