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CAROLINE ELIZABETH MCGUGIN M.D.
NPI 1053678128
Surgery in Mobile, AL

Active since April 13, 2012PECOS EnrolledAccepts Medicare Assignment
3 MOBILE INFIRMARY CIR STE 305, MOBILE, AL 36607(251) 435-5557(251) 435-5558 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2020, Jan 16, 2020, Nov 19, 2018 and 2 more (5 updates tracked since 2018).

About Caroline Elizabeth Mcgugin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE ELIZABETH MCGUGIN M.D. (NPI 1053678128) is an individual surgery provider in Mobile, Alabama, licensed in Alabama (32984) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2012).

NPPES Registry Identity

NPI1053678128
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCAROLINE ELIZABETH MCGUGINCredential: M.D.
Location Address3 MOBILE INFIRMARY CIR STE 305Mobile, AL 36607-3515
Mailing Address3 Mobile Infirmary Cir Ste 305Mobile, AL 36607-3515 · (251) 435-5557 · Fax (251) 435-5558
Phone(251) 435-5557
Fax(251) 435-5558
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2012
Enumeration DateApril 13, 2012
Last NPPES UpdateMarch 26, 20205 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
✔ NPI 1053678128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · 32984
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 32984 (AL)
3 MOBILE INFIRMARY CIR STE 305, Mobile, AL 36607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline Elizabeth Mcgugin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587814512
PECOS Enrollment IDI20191205002578
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services55 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
33 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services22 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
27 services26 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
18 services18 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JILLIAN KAYE MCCABE MD, RD
Surgery (Surgical Oncology)
3 MOBILE INFIRMARY CIR STE 305
MOBILE, AL 36607
Mobile County (251) 433-5557
UDAI SIBIA M.D.
Surgery (Surgical Oncology)
3 MOBILE INFIRMARY CIR STE 305
MOBILE, AL 36607
Mobile County (251) 443-5557
MRS. TAMMY LYNN PUGH ACNP
Nurse Practitioner (Acute Care)
3 MOBILE INFIRMARY CIR STE 305, BUILDING B, SUITE 118
MOBILE, AL 36607
Mobile County (251) 435-7328
ISAAC CHRISTOPHER PAYNE D.O.
Colon & Rectal Surgery
3 MOBILE INFIRMARY CIR STE 305
MOBILE, AL 36607
Mobile County (251) 433-5557

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Mcgugin's NPI number?

The NPI number for Caroline Mcgugin is 1053678128. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Caroline Mcgugin located?

Caroline Mcgugin practices at 3 Mobile Infirmary Cir Ste 305, Mobile, AL 36607. The listed phone number is (251) 435-5557.

What is Caroline Mcgugin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Caroline Mcgugin enrolled in Medicare?

Yes. Caroline Mcgugin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Caroline Mcgugin accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Caroline Mcgugin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caroline Mcgugin was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.