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Terry Lynn Doherty , NP

Nurse Practitioner โ€ข Boston, MA

Active NPI 1174248165 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

55 Fruit St # 1500
Boston, MA 021142621

Call 6177263874 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St # 1500

Boston, MA 021142621

Telephone 6177263874
Fax 6176431384
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Duxbury, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Massachusetts General Physicians Organization Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Massachusetts Medical School

Graduation Year

2022

Medicare patients

147 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $32,163 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $25,596 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Terry Doherty has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Terry Doherty as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Boston and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Boston, MA (2024, 352 clinicians with data). Median for this group: 215. Middle half: 102 to 369.

Close to the middle for clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: 293. Middle half: 113 to 625.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Boston, MA (2024, 352 clinicians with data). Median for this group: $19,004. Middle half: $8,880 to $34,097.

Close to the middle for clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: $24,187. Middle half: $9,751 to $49,233.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Boston, MA (2024, 352 clinicians with data). Median for this group: $14,068. Middle half: $6,399 to $25,756.

A higher Medicare payment amount than 60% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: $18,312. Middle half: $7,110 to $37,062.

961 active clinicians are listed under Nurse Practitioner with a practice address in Boston, MA (3,483 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boston

25.1% of these 961 clinicians have the CMS telehealth indicator.

47.6% of these 961 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
268 135 $498.51 $105.07
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th
88 40 $163.00 $26.86
99239 Hospital discharge day management, more than 30 minutes
16 16 $483.13 $102.56

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MA RN161828

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

License # reported to NPPES MA AG07220221
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20230717000391

Enrollment State Jurisdiction

MA

PECOS Control ID

6305206830

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Massachusetts General Physicians Organization Inc

55 Fruit St, Boston, MA 021142696

Phone: 6177240287

Secondary Practice Locations

298 Lincoln St

Duxbury, MA 023323119

Phone: 3397933154

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1194956573

Doctor of Medicine (M.D.), Master of Public Health

NPI 1588814115

Doctor of Medicine (M.D.)

Dr. Cindy Yu , MD

Internal Medicine

NPI 1134355720

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Practice Location May 24, 2023

Registered at 55 FRUIT ST # 1500, BOSTON, MA 021142621 (Tel: 6177263874)

โœ…
NPI Profile Active October 11, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 11, 2022

Registered at 298 LINCOLN ST, DUXBURY, MA 023323119 (Tel: 3397933154)

๐Ÿ“
Business Mailing Address (Initial Record) October 11, 2022

Registered at 298 LINCOLN ST, DUXBURY, MA 023323119 (Tel: 3397933154)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 11, 2022

Recorded as TERRY DOHERTY, NP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2022

Nurse Practitioner (license number reported to NPPES: MA AG07220221)

๐ŸŸข
Initial NPI Registration & Enumeration October 11, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174248165
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2022
Last Update: May 24, 2023
Sole Proprietor: Yes

Other Nurse Practitioners in Boston

All Nurse Practitioners in Boston

Mailing Address

298 Lincoln St

Duxbury, MA 023323119

Phone: 3397933154

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.