Physician

Dane H Dougherty, M.D.

According to 2025 Medicare claims, Dane Dougherty, M.D. (NPI: 1518251370) practices rheumatology in the Eugene-Springfield, OR market, with the plurality of this provider's patient population coming from Lane, OR. This provider's primary affiliated billing organization is OREGON HEALTHCARE RESOURCES, LLC (NPI: 1982907572; TIN: 273674492) and primary practice location at 97477-7126. Dougherty is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604) and CareMount Value Partners IPA (ACO ID: D0019), participating under both the MSSP and REACH models.

Dougherty's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 472 traditional Medicare patients, billed 72,711 HCPCS/CPT codes, and received $848,504 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,854 prescription claims across 547 beneficiaries totaling $4,384,346 in drug costs, led by Humira(Cf) Pen (Adalimumab). No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $209,393 to $4,384,346. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$577K$1.2M2016 Medicare payment: $45,620 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $311,203 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $735,611 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,056,781 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,037,121 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,154,179 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $867,392 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $803,255 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $848,504 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016793,242$45,620
201724917,112$311,203
201840461,598$735,611
201946167,978$1,056,781
202045163,709$1,037,121
202150878,700$1,154,179
202242477,970$867,392
202348864,959$803,255
202447272,711$848,504

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$2.2M$4.4M2015 Drug cost: $209,393 (USD; Tot_Drug_Cst)2016 Drug cost: $266,654 (USD; Tot_Drug_Cst)2017 Drug cost: $889,523 (USD; Tot_Drug_Cst)2018 Drug cost: $1,444,341 (USD; Tot_Drug_Cst)2019 Drug cost: $1,544,497 (USD; Tot_Drug_Cst)2020 Drug cost: $2,208,904 (USD; Tot_Drug_Cst)2021 Drug cost: $2,890,521 (USD; Tot_Drug_Cst)2022 Drug cost: $3,217,273 (USD; Tot_Drug_Cst)2023 Drug cost: $3,744,179 (USD; Tot_Drug_Cst)2024 Drug cost: $4,384,346 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201588418$209,393
2016141616$266,654
20172701,987$889,523
20183883,264$1,444,341
20194883,702$1,544,497
20204843,946$2,208,904
20214603,735$2,890,521
20224543,294$3,217,273
20234753,409$3,744,179
20245473,854$4,384,346

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more219444$87
80053Blood test, comprehensive group of blood chemicals107206$10
36415Insertion of needle into vein for collection of blood sample156296$9
86140Measurement c-reactive protein for detection of infection or inflammation102172$5
85652Red blood cell sedimentation rate, to detect inflammation, automated111216$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab1384,116$1,380,735
Enbrel SureclickEtanercept571,596$441,623
Cosentyx Sensoready (2 Pens)Secukinumab461,288$406,883
Xeljanz XrTofacitinib Citrate491,470$291,568
Cosentyx Sensoready PenSecukinumab20560$186,152

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Dane H. Dougherty, M.D.?

Tedicare shows public-source Medicare data for Dane H. Dougherty, M.D. (NPI 1518251370), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Dane H. Dougherty, M.D. have ACO affiliation data?

Dane H. Dougherty, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604) and CareMount Value Partners IPA (REACH, ACO ID D0019).

What billing organization is linked to Dane H. Dougherty, M.D.?

Dane H. Dougherty, M.D. is linked to OREGON HEALTHCARE RESOURCES, LLC (billing NPI 1982907572) in the available physician profile data.

Does Dane H. Dougherty, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.