What is Mark Dougherty's specialty?

Mark Dougherty (NPI 1326049628) is a Medicare-billing provider whose primary specialty is Infectious Disease in Lexington, KY.

Where does Mark Dougherty practice?

Mark Dougherty practices in Lexington, KY, based on the location reported in the CMS Medicare provider datasets for NPI 1326049628.

How much does Medicare pay Mark Dougherty?

Mark Dougherty (NPI 1326049628) received approximately $187K in total Medicare Part B payments, serving 292 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1326049628

Mark DoughertyMD

Infectious DiseaseLexington, KYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,006

Unique beneficiaries

—

Total services

99,834

Distinct HCPCS

Medicare payment

$162K

Peer benchmark

Total Medicare services vs. 72 Infectious Disease providers in KY — top quintile (cohort median 810).

PRESCRIBING · PART D · 2024

Total Rx claims

495

Beneficiaries

—

Total drug cost

$285K

Distinct drugs

Brand share

43.4%

Top prescribed drugs

Doxycycline Hyclate79 claims

Amoxicillin45 claims

Amoxicillin/Potassium Clav44 claims

Sulfamethoxazole/Trimethoprim41 claims

Abacavir/Dolutegravir/Lamivudi40 claims

QUALITY · MIPS · 2024

Final MIPS score

88.3

Quality

71.5

Cost

73.3

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.56%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Travel and Lodging$82

Education$1

Top paying entities

Food and Beverage$2K

Travel and Lodging$82

Education$1

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

Hospital

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Mark Dougherty's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 57 inbound referrers · 79 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SAINT JOSEPH HEALTH SYSTEM, INC	92	454
Allen Westerfield Diagnostic Radiology · Lexington, KY	88	596
SAINT JOSEPH HEALTH SYSTEM, INC	79	454
Daniel Rodrigue Infectious Disease · Lexington, KY	58	313
Marc Ford Diagnostic Radiology · Lexington, KY	53	247
Andrea Banks Internal Medicine · Lexington, KY	53	473
Carina Butler Diagnostic Radiology · Lexington, KY	53	244
RICE, NELSON	49	262
New Lexington Clinic, Psc Clinical Laboratory · Lexington, KY	48	377
James Buck Diagnostic Radiology · Lexington, KY	47	225
Raymonda Stevens Diagnostic Radiology · Lexington, KY	45	197
Elizabeth Piercy Infectious Disease · Lexington, KY	44	219

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
BAPTIST HEALTHCARE SYSTEM, INC	216	2,684
John Meek Infectious Disease · Lexington, KY	60	354
Michael Miedler Infectious Disease · Lexington, KY	57	281
Allen Westerfield Diagnostic Radiology · Lexington, KY	57	350
Marty Allen Infectious Disease · Lexington, KY	54	310
Daniel Rodrigue Infectious Disease · Lexington, KY	54	352
Andrea Banks Internal Medicine · Lexington, KY	50	407
SAINT JOSEPH HEALTH SYSTEM, INC	49	221
Carina Butler Diagnostic Radiology · Lexington, KY	48	178
Dale Absher Diagnostic Radiology · Lexington, KY	45	200
Charles Rose Infectious Disease · Lexington, KY	45	393
Charles Kennedy Infectious Disease · Lexington, KY	44	346

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events