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Dr. Michael Reardon Doherty , DDS

Dentist • Saint Louis, MO

Active NPI 1518371020 Individual Practitioner Male Practitioner
Practice location in NPPES

615 S New Ballas Rd
Saint Louis, MO 631418221

Call 3142516930 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

615 S New Ballas Rd

Saint Louis, MO 631418221

Telephone 3142516930
Organization at the Same NPPES Address or Phone
Mercy Hospitals East Communities Facility NPI 1639155898

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

41 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$116 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2023

All general payments: $42.43 across 2 records.

By nature of payment

  • Consulting Fee: $25.00 across 1 record.
  • Food and Beverage: $17.43 across 1 record.

Reporting-company totals

  • Align Technology, Inc.: $25.00 across 1 record.
  • Ormco Corporation: $17.43 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2014

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, “Does your provider accept Medicare as full payment?”

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)

Dr. 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 Dr. 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 Saint Louis and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Dentist in Saint Louis, MO (2024, 102 clinicians with data). Median for this group: 51. Middle half: 26 to 109.

Close to the middle for clinicians listed under Dentist in Missouri (2024, 803 clinicians with data). Median for this group: 51. Middle half: 26 to 109.

Part D drug cost

Close to the middle for clinicians listed under Dentist in Saint Louis, MO (2024, 102 clinicians with data). Median for this group: $146. Middle half: $63 to $365.

Close to the middle for clinicians listed under Dentist in Missouri (2024, 803 clinicians with data). Median for this group: $158. Middle half: $67 to $379.

223 active clinicians are listed under Dentist with a practice address in Saint Louis, MO (1,649 in Missouri).

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

Telehealth indicator in Saint Louis

0% of these 223 clinicians have the CMS telehealth indicator.

0% of these 223 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $42.43.

Manufacturer Payment Nature Product Type Amount ($)
Align Technology, Inc.
Consulting Fee
Cash or cash equivalent
Invisalign General $25.00
Ormco Corporation
Food and Beverage
In-kind items and services
NOBELACTIVE General $17.43

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 40 278 $115.98 32

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES MO 2014016792

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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: Missouri Board of Registration for the Healing Arts.
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 - ORAL SURGERY

Medicare Enrollment ID

I20160627001322

Enrollment State Jurisdiction

MO

PECOS Control ID

9133347222

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

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

Clinicians Sharing This Practice Address or Phone

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

12 listed
Dr. Talha Allam , MD

Radiology - Diagnostic Radiology

NPI 1174750152

Doctor of Medicine (M.D.)

NPI 1801316070

Doctor of Osteopathic Medicine (D.O.)

Dr. Jeffrey Dines , MD

Radiology - Diagnostic Radiology

NPI 1427498351

Doctor of Medicine (M.D.)

Dr. Justin Grady , DO

Internal Medicine - Critical Care Medicine

NPI 1669882205

Doctor of Osteopathic Medicine (D.O.)

Dr. Ahmad Irshad , MD

Internal Medicine - Critical Care Medicine

NPI 1134624323

Doctor of Medicine (M.D.)

Dr. Rubab Jafri , MD

Obstetrics & Gynecology

NPI 1588925358

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated June 12, 2014.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1518371020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2014
Last Update: June 12, 2014
Sole Proprietor: No

Other Dentists in Saint Louis

All Dentists in Saint Louis

Mailing Address

615 S New Ballas Rd

Saint Louis, MO 631418221

Phone: 3142516930

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.