MARK D MCGAUGHEY M.D.
NPI 1083696744
Internal Medicine - Interventional Cardiology in West Des Moines, IA

Q: What is Mark Mcgaughey's NPI number?

The NPI number for Mark Mcgaughey is 1083696744. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Mark Mcgaughey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Mark Mcgaughey was last updated on June 14, 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.

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment

5880 UNIVERSITY AVE STE. 102, WEST DES MOINES, IA 50266(515) 633-3600(515) 288-0840 Get Directions Write a Review

NPPES record last updated: June 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 14, 2020, Jun 27, 2018 (2 updates tracked since 2018).

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About Mark D Mcgaughey M.d. NPPES

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

MARK D MCGAUGHEY M.D. (NPI 1083696744) is an individual interventional cardiology provider in West Des Moines, Iowa, licensed in Iowa (MD-25191) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (1979).

NPPES Registry Identity

NPI1083696744

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameMARK D MCGAUGHEYCredential: M.D.

Location Address5880 UNIVERSITY AVE STE. 102West Des Moines, IA 50266

Mailing AddressPo Box 9170Des Moines, IA 50306-9170 · (515) 633-3600 · Fax (515) 633-3838

Phone(515) 633-3600

Fax(515) 288-0840

Sole ProprietorNo

Medical School CMSJohns Hopkins University School Of MedicineGraduated 1979

Enumeration DateNovember 17, 2005

Last NPPES UpdateJune 14, 20202 updates tracked since enumeration

NPPES CertifiedJune 14, 2020

✔ NPI 1083696744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in IA · MD-25191

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 25191 (IA)

5880 UNIVERSITY AVE STE. 102, West Des Moines, IA 50266

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Other Identifiers 2

OtherCD4507IA · Rr Medicare Group

Other060020321IA · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.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

Mark D Mcgaughey 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 ID5597812891

PECOS Enrollment IDI20090402000090

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 Reassignments

Medicare enrollment records show Mark Mcgaughey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Catholic Health Initiatives-Iowa Corp

Same address

Clinical Cardiac Electrophysiology

5880 UNIVERSITY AVE
West Des Moines, IA 50266

Reassigned Medicare billing, Iowa enrollment
133 clinicians in this Medicare group

NPI 1629301684 (515) 633-3600

Broadlawns Medical Center

7.7 mi

General Acute Care Hospital

1801 HICKMAN RD
Des Moines, IA 50314

Reassigned Medicare billing, Iowa enrollment
518 clinicians in this Medicare group

NPI 1467447508 (515) 282-2200

Hamilton County Public Hospital

47 mi

Rural Health

817 SHAKESPEARE AVE
Stratford, IA 50249

Reassigned Medicare billing, Iowa enrollment
70 clinicians in this Medicare group

NPI 1497957351 (515) 838-2100

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

Areas of Expertise CMS Part B claims 19

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.

400 services303 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

251 services236 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

129 services129 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

118 services118 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

85 services85 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

76 services73 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

55 services37 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

41 services37 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

37 services37 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services25 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

16 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

14 services14 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

14 services14 patients

Ultrasound of heart, follow-up 93308

14 services14 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

13 services13 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160083

Location1111 6th AveDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50266 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

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.

MARK A TANNENBAUM M.D.

Internal Medicine (Interventional Cardiology)

5880 UNIVERSITY AVE STE. 102
WEST DES MOINES, IA 50266

Dallas County (515) 633-3600

MAGDI G.H. GHALI M.D.

Internal Medicine (Interventional Cardiology)

5880 UNIVERSITY AVE STE. 102
WEST DES MOINES, IA 50266

Dallas County (515) 633-3600

PAMELA M SIGMUND PA-C

Physician Assistant

5880 UNIVERSITY AVE STE. 102
WEST DES MOINES, IA 50266

Dallas County (515) 633-3600

MICHAEL C FRAIZER M.D.

Internal Medicine (Interventional Cardiology)

5880 UNIVERSITY AVE STE. 102
WEST DES MOINES, IA 50266

Dallas County (515) 633-3600

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 Mark Mcgaughey's NPI number?

The NPI number for Mark Mcgaughey is 1083696744. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Mark Mcgaughey located?

Mark Mcgaughey practices at 5880 University Ave Ste. 102, West Des Moines, IA 50266. The listed phone number is (515) 633-3600.

What is Mark Mcgaughey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Mark Mcgaughey enrolled in Medicare?

Yes. Mark Mcgaughey 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 organizations bill Medicare for Mark Mcgaughey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mcgaughey reassigns Medicare benefits to 3 organizations: Catholic Health Initiatives-Iowa Corp (West Des Moines, IA), Broadlawns Medical Center (Des Moines, IA) and Hamilton County Public Hospital (Stratford, IA). Each 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 Mark Mcgaughey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Mcgaughey accept?

Health plans from Oscar Health and Oscar Insurance Company list Mark Mcgaughey 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.

Is Mark Mcgaughey affiliated with any hospitals?

According to CMS data, Mark Mcgaughey is affiliated with Mercyone Des Moines Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Mcgaughey was last updated on June 14, 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.