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

DR. GERARD JOHN-CHARLES COUGHLIN DPM
NPI 1104457159
Podiatrist in Salem, VA

Active since January 29, 2020PECOS Enrolled
1802 BRAEBURN DR STE A2130, SALEM, VA 24153(540) 344-3668 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 17, 2026, May 17, 2023, May 11, 2023 and 1 more (4 updates tracked since 2020).

About Dr. Gerard John-charles Coughlin Dpm NPPES

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

DR. GERARD JOHN-CHARLES COUGHLIN DPM (NPI 1104457159) is an individual podiatrist in Salem, Virginia, licensed in Virginia (0103301473) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104457159
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. GERARD JOHN-CHARLES COUGHLINCredential: DPM
Location Address1802 BRAEBURN DR STE A2130Salem, VA 24153-7357
Mailing AddressPo Box 825159Philadelphia, PA 19182-5159 · (866) 626-1540 · Fax (866) 386-8526
Sole ProprietorYes
Enumeration DateJanuary 29, 2020
Last NPPES UpdateSeptember 17, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1104457159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in VA · 0103301473
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1802 BRAEBURN DR STE A2130, Salem, VA 24153

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gerard John-charles Coughlin Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 24153 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 2

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

Podiatrist
1802 BRAEBURN DR STE A2130
SALEM, VA 24153
Podiatrist
1802 BRAEBURN DR STE A2130
SALEM, VA 24153

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 Gerard Coughlin's NPI number?

The NPI number for Gerard Coughlin is 1104457159. It was assigned to this individual provider in the NPPES registry on January 29, 2020.

Where is Gerard Coughlin located?

Gerard Coughlin practices at 1802 Braeburn Dr Ste A2130, Salem, VA 24153. The listed phone number is (540) 344-3668.

What is Gerard Coughlin's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Gerard Coughlin enrolled in Medicare?

Yes. Gerard Coughlin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gerard Coughlin was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.