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

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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
Phone(314) 747-5470
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Gaughan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Pittsburgh Physicians
534 mi
Neurological Surgery
425 W FIFTH ST, EAST LIVERPOOL CITY HOSPITAL
East Liverpool, OH 43920
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1811945793 (330) 386-3195

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. ERIN LEIGH DYER MD
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5060
DR. NICHOLE GALLEGOS ZEHNDER MD
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5060
MRS. NANCY J CIBULKA WHNP
Nurse Practitioner (Family)
4901 FOREST PARK AVE, STE 341
SAINT LOUIS, MO 63108
St. Louis City (314) 454-7882
DR. MARCIA J MCCABE PSYD
Psychologist
4901 FOREST PARK AVE, DEPT PSYCHIATRY, STE 441
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1700
WASHINGTON UNIVERSITY
Clinic/Center (Multi-Specialty)
4901 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. JING-WEI HUANG MD
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. DAVID L EISENBERG MD
Obstetrics & Gynecology (Gynecology)
4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710
SAINT LOUIS, MO 63108
St. Louis City (314) 362-4211
NICHOLAS RICHARD LEVERGOOD MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937

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.

Which organization bills Medicare for Thomas Gaughan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Gaughan reassigns Medicare benefits to University Of Pittsburgh Physicians (East Liverpool, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Gaughan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Gaughan accept?

Health plans from UnitedHealthcare list Thomas Gaughan 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 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 2 months 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.