Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy Daugherty, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1780066738

Dr. Timothy Daugherty, MD is a Plastic and Reconstructive Surgery in Springfield, Illinois. Graduated from Southern Illinois University School of Medicine in 2015, 11 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
11
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

747 N Rutledge St Fl 3
Springfield, IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-2588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 747 N Rutledge St Fl 2, Springfield, IL 62702-6700 — (217) 545-8000

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 036.160543 (IL)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 125.066594 (IL)

Record details

NPI number1780066738
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 26, 2015
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing addressPo Box 19639, Springfield, IL 62794-9639

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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