1. Home
  2. Directory
  3. Tennessee
  4. Erwin
  5. Internal Medicine
  6. NPI Profile

GORDON WYCHE MOUGHON MD
NPI 1376559070
Internal Medicine in Erwin, TN

Active since August 01, 2006PECOS EnrolledCLIA 44D0310936 · Microscopy
630 ONEEGA AVENUE, SUITE B, ERWIN, TN 37650(423) 743-6169 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gordon Wyche Moughon Md NPPES

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

GORDON WYCHE MOUGHON MD (NPI 1376559070) is an individual internal medicine provider in Erwin, Tennessee, licensed in Tennessee (MD12739) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2028, and is affiliated with Sycamore Shoals Hospital.

NPPES Registry Identity

NPI1376559070
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGORDON WYCHE MOUGHONCredential: MD
Location Address630 ONEEGA AVENUE, SUITE BErwin, TN 37650
Mailing Address630 Oneega Avenue, Suite BErwin, TN 37650 · (423) 743-6169
Phone(423) 743-6169
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1977
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376559070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · MD12739
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
630 ONEEGA AVENUE, Erwin, TN 37650
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINB03975
Medicare ID-Type Unspecified3181522TN
Medicaid3181522TN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gordon Wyche Moughon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375679475
PECOS Enrollment IDI20100329000159
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0310936

Gordon Moughon MD · Erwin, TN
Active · expires Aug 31, 2028
CLIA Number44D0310936
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorGordon W. Moughon
Laboratory Phone(423) 743-6169
Laboratory LocationGordon Moughon MD630 Oneega Suite B, Erwin, TN 37650
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 5

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 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.
262 services61 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
158 services58 patients
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.
75 services50 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
73 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440018
Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37650 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims25 services$6.28 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$39.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$84.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gordon Moughon's NPI number?

The NPI number for Gordon Moughon is 1376559070. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Gordon Moughon located?

Gordon Moughon practices at 630 Oneega Avenue Suite B, Erwin, TN 37650. The listed phone number is (423) 743-6169.

What is Gordon Moughon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gordon Moughon enrolled in Medicare?

Yes. Gordon Moughon is registered in the Medicare PECOS enrollment system.

Does Gordon Moughon hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0310936) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gordon Moughon accept?

Health plans from UnitedHealthcare list Gordon Moughon 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 Gordon Moughon affiliated with any hospitals?

According to CMS data, Gordon Moughon is affiliated with Sycamore Shoals Hospital and Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Gordon Moughon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.