Dr. Michael James Docherty, MD

  • San Diego, CA
  • Gastroenterologist
NPI1841230935PAC ID5799720173
Medicare services, 2024
470
Medicare patients, 2024
349
Part D claims, 2024
767
Publications
6
MIPS score, 2024
91
Practice address
200 W Arbor Dr, San Diego, CA 92103
Practice phone
Call (619) 543-6222
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

UCSD Hillcrest Medical Center

San Diego, California

See all 3 affiliations

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Dr. Michael James Docherty is a gastroenterologist in San Diego, California

Dr. Docherty practices at UCSD Hillcrest Medical Center in San Diego, California.

Dr. Docherty's NPI, 1841230935, was assigned on June 7, 2006. Dr. Docherty graduated from Jacobs School of Medicine and Biomedical Sciences in 1999. Dr. Docherty holds California license A74870.

NPI and contact details
Medicare PAC ID
5799720173
NPI enumeration date
June 7, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(619) 543-6222
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
53
Medical school graduation
1999

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Michael James Docherty practices at UCSD Hillcrest Medical Center in San Diego, California

Dr. Docherty's primary practice is UCSD Hillcrest Medical Center, at 200 W Arbor Dr, San Diego, CA 92103 in San Diego County. The practice phone is (619) 543-6222.

  • UCSD Hillcrest Medical Center
    200 W Arbor Dr, San Diego, CA 92103 · San Diego CountyPhone(619) 543-6222

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Michael James Docherty is affiliated with 2 sites of care and 1 medical group

Dr. Docherty's primary practice is UCSD Hillcrest Medical Center in San Diego, California. Dr. Docherty is also affiliated with Hillcrest Medical Center. The medical group on file is UC San Diego Health.

See all 3 affiliations for Dr. Docherty

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Michael James Docherty's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Docherty practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
UCSD Hillcrest Medical CenterAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Michael James Docherty is one of 1,977 gastroenterologists in California

Gastroenterology is Dr. Docherty's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dr. Docherty is board certified in gastroenterology by the American Board of Internal Medicine. Dr. Docherty is licensed in California.

Specialties and state licenses

  • Gastroenterology, CaliforniaPrimaryLicense A74870 · 2001 to 2026 · taxonomy 207RG0100X

Clinical focus

Dmand AI lists acid reflux, acute gastroduodenitis, chronic inflammatory bowel disease (IBD), colonoscopy, gastroenteritis, gastrointestinal bleeding, hemorrhoids and hepatitis c among the conditions Dr. Docherty treats.

Gastroenterologists near Dr. Docherty

Counts of gastroenterologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Michael James Docherty billed Medicare for 470 services in 2024

CMS data shows 470 Medicare services from Dr. Docherty across 10 procedure codes in 2024, for 349 Medicare patients. Medicare paid $55,722 for them.

Medicare services, 2024470
Medicare patients349
Paid by Medicare$55,722
Procedure codes10

Dr. Docherty's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Surgery
2023: 3232024: 23727%
Office and hospital visits
2023: 2402024: 19419%
Other services
2023: 1282024: 3970%

Where Dr. Docherty's Medicare services took place, 2024

  • In an office17136%
  • In a facility29964%

Dr. Docherty compared with the California median for gastroenterologists, 2024

  • Dr. Docherty
  • California median
Medicare services
470vs 58620% below
Medicare patients
349vs 30216% above
Part D claims
606vs 38059% above

Medians across 1,875 gastroenterologists in California with Dmand AI profiles that report each measure.

Dr. Docherty's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Docherty

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Michael James Docherty treated 349 Medicare patients in 2024, average age 71

CMS counts 349 Medicare patients who saw Dr. Docherty in 2024. The largest group is 65 to 74, with 158 patients. 75% of them have high cholesterol, and 66% have high blood pressure. 22% are also on Medicaid. Their average risk score is 1.64, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Docherty's median patient age at 59, with 57% women.

Medicare patients, 2024349
Average age71
Average risk score1.64
Also on Medicaid22%

Dr. Docherty's Medicare patients by age, 2024

Dr. Docherty's Medicare patients by sex, 2024

  • Women20057%
  • Men14943%

Chronic conditions among Dr. Docherty's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure66%
  3. Arthritis52%
  4. Anxiety32%
  5. Mood disorders32%
  6. Depression29%
  7. Diabetes27%
  8. Ischemic heart disease27%

Share of Medicare patients with each condition. A patient can have several.

Dr. Docherty's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 59

Patient panel by sex, all payers

  • Women57%
  • Men41%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Michael James Docherty wrote 767 Medicare Part D claims in 2024

In 2024, Dr. Docherty wrote 767 Medicare Part D claims for 405 patients. 82% of them were for generic drugs. CMS names the drug for 606 of them, across 12 drugs with 11 or more claims each, at $78,199 in total drug cost. In 2023, CMS named 500 claims across 14 drugs.

Part D claims, 2024767
Drugs named by CMS12
Total drug cost$78,199
Part D patients405

Dr. Docherty's Part D claims by kind of drug, 2024

  • Generic627 claims82%
  • Brand-name140 claims18%

Dr. Docherty's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Docherty's Part D claims, 2024

  • Antibiotics5%38 of 767 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 5002024: 60621%

Drugs named by CMS: 12 in 2024, 14 in 2023.

See all prescribing by Dr. Docherty

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Michael James Docherty scored 91 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 91 out of 100 for Dr. Docherty for performance year 2024, reported as part of a group. Dr. Docherty accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Docherty as offering telehealth. CMS counts 127 procedures of colonoscopy by Dr. Docherty, more than 85% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Docherty's MIPS scores, performance year 2024

  • 91of 100Final score
  • 84.1of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 74of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Docherty ranks in Medicare procedure volume

Colonoscopy
85th percentile127 procedures
Upper gastrointestinal (GI) endoscopy for acid reflux
79th percentile113 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Michael James Docherty has 6 publications on record

Dmand AI links 6 papers to Dr. Docherty, published from 2012 to 2023. 2012 was the busiest year, with 2. Dr. Docherty's most frequent co-authors are Barbara Hedwig Jung, MD, Elisabeth C. McLemore, MD and Derek R. Patel, MD.

Papers6
Years published2012 to 2023

Dr. Docherty's papers by year, 2012 to 2023

Dr. Docherty's most frequent co-authors

Recent publications by Dr. Docherty

See all 6 publications and co-authors

See who Dr. Docherty researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Docherty works with, so you can find a warm path to the right gastroenterologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Michael James Docherty received $40 in industry payments from 2021 to 2022

CMS Open Payments shows 2 general payments to Dr. Docherty from 1 drug or device company from 2021 to 2022. Food and beverage make up the largest share, 100% of the total. Medtronic, Inc. paid the most, $40.

General payments to Dr. Docherty by program year, 2021 to 2022

Companies that paid Dr. Docherty the most, 2021 to 2022

Share is of all general payments to this clinician.

See all payments to Dr. Docherty

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Michael James Docherty graduated from Jacobs School of Medicine and Biomedical Sciences

Dr. Docherty graduated from Jacobs School of Medicine and Biomedical Sciences in 1999.

  1. Medical schoolJacobs School of Medicine and Biomedical Sciences
  2. Board certified in gastroenterologyAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Michael James Docherty accepts plans from 15 insurance carriers

Dr. Docherty is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

Plan types Dr. Docherty accepts, by number of carriers

  1. PPO10
  2. Medicare9
  3. HMO8
  4. EPO4
  5. POS3

Source: Dmand AI Insurance Network Data

Sources for Dr. Michael James Docherty's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Michael James Docherty

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Michael James Docherty's NPI number?

Dr. Michael James Docherty's NPI number is 1841230935. It was assigned on June 7, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Michael James Docherty?

Dr. Michael James Docherty is a gastroenterologist in San Diego, California. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).

Where does Dr. Michael James Docherty practice?

Dr. Docherty practices at 200 W Arbor Dr, San Diego, CA 92103. Dr. Docherty's primary practice is UCSD Hillcrest Medical Center in San Diego, California.

What is Dr. Michael James Docherty's office phone number?

The practice phone on file for Dr. Docherty is (619) 543-6222.

What is Dr. Michael James Docherty's medical license number?

Dr. Docherty holds California license A74870.

Which hospitals is Dr. Michael James Docherty affiliated with?

Dr. Docherty is affiliated with Hillcrest Medical Center.

What medical group is Dr. Michael James Docherty part of?

Dr. Docherty is linked to UC San Diego Health.

Does Dr. Michael James Docherty accept Medicare?

Yes. CMS data shows Dr. Docherty billed Medicare for 470 services in 2024, and Dr. Docherty accepts Medicare assignment.

Does Dr. Michael James Docherty offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Docherty as offering telehealth services.

What is Dr. Michael James Docherty's MIPS score?

Dr. Docherty's MIPS final score for performance year 2024 is 91 out of 100, reported as part of a group.

Show 10 more questionsShow fewer questions

How many Medicare patients does Dr. Michael James Docherty see?

CMS counts 349 Medicare patients who saw Dr. Docherty in 2024, with an average age of 71.

Is Dr. Michael James Docherty board certified?

Yes. Dr. Docherty is board certified in gastroenterology by the American Board of Internal Medicine.

What services does Dr. Michael James Docherty bill to Medicare?

In 2024, Dr. Docherty's most billed Medicare services were office visit, established patient (99214), surgery: digestive system (45385) and surgery: digestive system (43239).

Where did Dr. Michael James Docherty go to medical school?

Dr. Docherty graduated from Jacobs School of Medicine and Biomedical Sciences in 1999.

What drugs does Dr. Michael James Docherty prescribe most?

In 2024 Medicare Part D data, Dr. Docherty's most prescribed drugs by claims were Sod Sulf-Potass Sulf-Mag Sulf, Omeprazole and Pantoprazole Sodium.

Has Dr. Michael James Docherty received payments from drug or device companies?

CMS Open Payments shows $40 in general payments to Dr. Docherty from 1 company from 2021 to 2022. The largest total came from Medtronic, Inc.

How long has Dr. Michael James Docherty been practicing?

Dr. Docherty graduated from medical school in 1999, 27 years ago.

Does Dr. Michael James Docherty do research?

Dmand AI links 6 publications to Dr. Docherty, published from 2012 to 2023.

Who does Dr. Michael James Docherty publish with?

Dr. Docherty's most frequent co-authors are Barbara Hedwig Jung, MD (2 shared papers), Elisabeth C. McLemore, MD (1 shared paper) and Derek R. Patel, MD (1 shared paper).

What insurance does Dr. Michael James Docherty accept?

Dr. Docherty is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

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