Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THOMAS GAUGHAN MD
NPI 1053948406
Obstetrics & Gynecology - Gynecology in Saint Louis, MO

Active since March 25, 2020PECOS Enrolled
4901 FOREST PARK AVE, SAINT LOUIS, MO 63108(314) 747-5470(314) 362-3335 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 20, 2026, Aug 9, 2024, Mar 25, 2020 (3 updates tracked since 2020).

About Thomas Gaughan Md NPPES

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

THOMAS GAUGHAN MD (NPI 1053948406) is an individual gynecology provider in Saint Louis, Missouri, licensed in Missouri (2026030730) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2020).

NPPES Registry Identity

NPI1053948406
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameTHOMAS GAUGHANCredential: MD
Location Address4901 FOREST PARK AVESaint Louis, MO 63108-1495
Mailing Address4901 Forest Park AveSaint Louis, MO 63108-1495 · (314) 747-5470 · Fax (314) 362-3335
Fax(314) 362-3335
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateAugust 20, 20263 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
NPI 1053948406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in MO · 2026030730
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
4901 FOREST PARK AVE, Saint Louis, MO 63108

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

Thomas Gaughan Md 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 ID2062955297
PECOS Enrollment IDI20240617001951
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 20

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

General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
Nurse Practitioner (Family)
4901 FOREST PARK AVE, STE 341
SAINT LOUIS, MO 63108
Psychologist
4901 FOREST PARK AVE, DEPT PSYCHIATRY, STE 441
SAINT LOUIS, MO 63108
Clinic/Center (Multi-Specialty)
4901 FOREST PARK AVE
SAINT LOUIS, MO 63108
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Obstetrics & Gynecology (Gynecology)
4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710
SAINT LOUIS, MO 63108

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 Thomas Gaughan's NPI number?

The NPI number for Thomas Gaughan is 1053948406. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Thomas Gaughan located?

Thomas Gaughan practices at 4901 Forest Park Ave, Saint Louis, MO 63108. The listed phone number is (314) 747-5470.

What is Thomas Gaughan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Thomas Gaughan enrolled in Medicare?

Yes. Thomas Gaughan 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.

When was this NPI record last updated?

The NPPES record for Thomas Gaughan was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.