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Mary E Dougherty, OD

Optometry · San Jose

NPI 1215909064

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
4 carriers
Office
1

Offices

1 location · Larry R Fabian and Jeffrey M Fanelli Ptrs Westside Family Vision Cente · 4 clinicians in this group

Looking this up.

Plans that list them

9 plans · 4 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Dougherty’s office at (408) 264-1555 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

9 of 9 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 10, 2026

Original Medicare doctor bills

$16,475

Medicare paid this office $16,475 for 87 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Established patient complete exam of visual system44$5,195$115
Short return visit (20+ min)37$4,456$78
Photography of the retina59$2,165$35
New patient complete exam of visual system13$1,922$148
Exam of visual field with extended testing24$1,637$55
See all 7 services
Every Original Medicare service billed
Established patient complete exam of visual system44$5,195$115
Short return visit (20+ min)37$4,456$78
Photography of the retina59$2,165$35
New patient complete exam of visual system13$1,922$148
Exam of visual field with extended testing24$1,637$55
Imaging of retina12$409$31
Imaging of optic nerve14$376$23

Who their Medicare patients are

87 Original Medicare patients in 2024. Average age 75 · Women 68% · Health risk score 0.76. At or below the middle of the specialty; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 61% · Coronary heart disease 23%.

The office billed $40,276, Medicare allowed $22,965 and paid $16,475; for 245 services of 13 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202487245750.76$40,276$16,475
202363145750.76$24,118$9,806
202271182770.74$27,504$10,966
202173187740.73$28,722$12,536
202054120740.79$17,574$7,581
201972165740.83$23,524$10,448
201853131750.70$18,181$7,713
201748106730.65$15,254$5,646
20164257730.64$9,517$4,072
20153347760.82$8,037$3,986
20143156760.71$8,462$3,987
20132235780.80$5,321$2,893

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 5 services

Original Medicare services billed in 2023
Established patient complete exam of visual system38$4,507$119
Short return visit (20+ min)25$2,269$78
Photography of the retina39$1,440$35
Exam of visual field with extended testing14$845$56
Imaging of optic nerve12$369$28

2022: 5 services

Original Medicare services billed in 2022
Established patient complete exam of visual system39$4,219$108
Short return visit (20+ min)33$2,679$72
Photography of the retina43$1,433$33
Exam of visual field with extended testing21$1,236$54
Imaging of optic nerve15$406$27

2021: 5 services

Original Medicare services billed in 2021
Established patient complete exam of visual system41$4,654$114
Short return visit (20+ min)34$3,905$77
Photography of the retina44$1,623$37
Exam of visual field with extended testing19$1,139$57
Imaging of optic nerve14$345$25

2020: 4 services

Original Medicare services billed in 2020
Established patient complete exam of visual system34$3,485$103
Short return visit (20+ min)21$1,538$59
Exam of visual field with extended testing13$853$66
Photography of the retina28$791$28

2019: 3 services

Original Medicare services billed in 2019
Established patient complete exam of visual system47$4,846$101
Short return visit (20+ min)26$2,372$62
Photography of the retina48$1,621$33

2018: 3 services

Original Medicare services billed in 2018
Established patient complete exam of visual system38$3,840$98
Short return visit (20+ min)18$1,438$53
Photography of the retina33$968$28

2017: 3 services

Original Medicare services billed in 2017
Short return visit (20+ min)22$1,927$58
Established patient complete exam of visual system26$1,900$73
Photography of the retina20$648$31

2016: 2 services

Original Medicare services billed in 2016
Established patient complete exam of visual system24$2,280$95
Short return visit (20+ min)17$966$51

2015: 1 service

Original Medicare services billed in 2015
Established patient complete exam of visual system16$1,823$114

2014: 1 service

Original Medicare services billed in 2014
Established patient complete exam of visual system19$2,172$103

2013: 1 service

Original Medicare services billed in 2013
Established patient complete exam of visual system13$1,336$103

Drugs they prescribed that Part D paid

$3,150

Pharmacies billed $3,150 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 102) in 2024. At or below the middle of the specialty; the typical optometry clinician is at 0%.

49 generic and 53 brand-name prescriptions · $3,150 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Latanoprost70$839$12
Timolol Maleate26$316$12

Year by year

Part D prescribing by year
2024102170% (0)52%$3,150
202375120% (0)71%$3,864
202262150% (0)40%$4,624
202169160% (0)51%$5,158
202048160% (0)48%$4,265
201932120% (0)50%$5,111
201832None0% (0)47%$3,535
201729None0% (0)69%$8,111
201623None0% (0)65%$4,407
201518None0% (0)67%$3,798

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Latanoprost53$720$14
Timolol Maleate16$217$14

2022: 2 drugs

Part D drugs prescribed in 2022
Latanoprost26$380$15
Timolol Maleate17$250$15

2021: 2 drugs

Part D drugs prescribed in 2021
Latanoprost32$626$20
Timolol Maleate12$151$13

2020: 1 drug

Part D drugs prescribed in 2020
Latanoprost29$848$29

2019: 1 drug

Part D drugs prescribed in 2019
Latanoprost17$619$36

2018: 1 drug

Part D drugs prescribed in 2018
Latanoprost16$432$27

Money from drug and device companies

$657 in 2025

Industry payments by year
202545None$657
2024610None$1,786
202322None$222
202211None$26
202112None$44
202023None$79
201933None$345

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Johnson & Johnson Vision CareAcuvue$263
2 payments
  • Meals for Acuvue · 2025-06-30 · $125
  • Meals · 2025-02-25 · $138
Alcon VisionTryptyr$144
1 payment
  • Meals for Tryptyr · 2025-07-15 · $144
Bausch & Lomb AmericasMiebo$125
1 payment
  • Meals for Miebo · 2025-10-29 · $125
Dompe USOxervate$125
1 payment
  • Meals for Oxervate · 2025-05-08 · $125
See all 5 published payments
Every published payment
Bausch & Lomb AmericasMeals · 2025-10-29Miebo$125
Alcon VisionMeals · 2025-07-15Tryptyr$144
Johnson & Johnson Vision CareMeals · 2025-06-30Acuvue$125
Dompe USMeals · 2025-05-08Oxervate$125
Johnson & Johnson Vision CareMeals · 2025-02-25None$138
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $1,786

Payments by company in 2024
Alcon VisionDailies Total1$1,282
5 payments
  • Travel · 2024-10-04 · $229
  • Travel · 2024-10-04 · $323
  • Travel · 2024-10-04 · $372
  • Meals · 2024-10-04 · $336
  • Meals for Dailies Total1 · 2024-03-30 · $21
Sight SciencesOmni Surgical System$149
1 payment
  • Meals for Omni Surgical System · 2024-10-29 · $149
RxSightRxsight Contact Lens$114
1 payment
  • Meals for Rxsight Contact Lens · 2024-06-12 · $114
Astellas Pharma USIzervay$112
1 payment
  • Meals for Izervay · 2024-10-30 · $112
Bausch & Lomb AmericasMiebo$101
1 payment
  • Meals for Miebo · 2024-04-11 · $101
Johnson & Johnson Vision CareNone$28
1 payment
  • Meals · 2024-05-23 · $28

2023: $222

Payments by company in 2023
Bausch & Lomb AmericasMiebo$124
1 payment
  • Meals for Miebo · 2023-10-05 · $124
Alcon VisionDailies Total1$98
1 payment
  • Meals for Dailies Total1 · 2023-12-19 · $98

2022: $26

Payments by company in 2022
Johnson & Johnson Vision CareAcuvue$26
1 payment
  • Meals for Acuvue · 2022-10-14 · $26

2021: $44

Payments by company in 2021
Alcon VisionPrecision 1$44
2 payments
  • Meals for Precision 1 · 2021-08-11 · $23
  • Meals for Precision 1 · 2021-02-19 · $21

2020: $79

Payments by company in 2020
Johnson & Johnson Vision CareAcuvue$60
2 payments
  • Meals for Acuvue · 2020-12-22 · $47
  • Meals for Acuvue · 2020-10-27 · $13
CooperVisionMisight Contact Lens$19
1 payment
  • Meals for Misight Contact Lens · 2020-09-03 · $19

2019: $345

Payments by company in 2019
AbbVieHumira$125
1 payment
  • Meals for Humira · 2019-08-26 · $125
Shire North American GroupXiidra$125
1 payment
  • Meals for Xiidra · 2019-04-25 · $125
Visioneering TechnologiesNone$96
1 payment
  • Meals · 2019-08-22 · $96

Professional record

NPI
1215909064
Licence
CA 10582T, MN 2531
Trained
Illinois College of Optometry at Chicago, 1995
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
18780 Cox Ave, Saratoga, CA, 95070
NPI first listed
2006-02-06
NPI last updated
2026-07-13

This is when the NPI record was last certified, not a medical board exam.