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DR. TIMOTHY SCOTT MAUGHON M.D.
NPI 1417028507
Orthopaedic Surgery - Sports Medicine in Duluth, GA

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
3855 PLEASANT HILL RD, SUITE 470, DULUTH, GA 30096(770) 813-8888(770) 813-0007 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Timothy Scott Maughon M.d. NPPES

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

DR. TIMOTHY SCOTT MAUGHON M.D. (NPI 1417028507) is an individual sports medicine provider in Duluth, Georgia, licensed in Georgia (031472) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1986).

NPPES Registry Identity

NPI1417028507
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. TIMOTHY SCOTT MAUGHONCredential: M.D.
Location Address3855 PLEASANT HILL RD, SUITE 470Duluth, GA 30096-1407
Mailing Address3855 Pleasant Hill Rd, Suite 470Duluth, GA 30096-1407 · (770) 813-8888 · Fax (770) 813-0007
Phone(770) 813-8888
Fax(770) 813-0007
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1986
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417028507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in GA · 031472
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
3855 PLEASANT HILL RD, Duluth, GA 30096
Open in Google Maps ↗

Other Identifiers 3

Medicaid00525566AGA
Medicare ID-Type Unspecified20BDBTFGA
Medicare UPINS-30944GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Timothy Scott Maughon 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 ID6002983335
PECOS Enrollment IDI20080929000023
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 Timothy Maughon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Emory Clinic Inc
17 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

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 9

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.
218 services141 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
84 services22 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
65 services50 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
63 services56 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.
34 services34 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
33 services26 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier12 claims12 services$68.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. MICHAEL JOHN PICKFORD M.D.
Otolaryngology
3855 PLEASANT HILL RD, SUITE 280
DULUTH, GA 30096
Gwinnett County (678) 312-7390
DONNA L CRAWFORD PA
Physician Assistant (Medical)
3855 PLEASANT HILL RD, SUITE 420
DULUTH, GA 30096
Gwinnett County (770) 495-1955
OLUSEUN AFOLABI OLUFADE MD
Physical Medicine & Rehabilitation
3855 PLEASANT HILL RD, SUITE 470
DULUTH, GA 30096
Gwinnett County (770) 813-8888
KARISHMA PANKAJ PATEL PA-C
Physician Assistant
3855 PLEASANT HILL RD
DULUTH, GA 30096
Gwinnett County (770) 495-1955
CHA OB/GYN
Obstetrics & Gynecology
3855 PLEASANT HILL RD, SUITE 270
DULUTH, GA 30096
Gwinnett County (937) 216-5707
DAMAR ANTWAN LEWIS AGACNP-BC
Nurse Practitioner (Acute Care)
3855 PLEASANT HILL RD
DULUTH, GA 30096
Gwinnett County (678) 312-1000
MARK MAJOCH M.D.
Family Medicine
3855 PLEASANT HILL RD, STE 100
DULUTH, GA 30096
Gwinnett County (770) 495-0155
DR. R. MORGAN DAVOUDI M.D.
Plastic Surgery
3855 PLEASANT HILL RD, SUITE 300
DULUTH, GA 30096
Gwinnett County (770) 418-1234

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 Timothy Maughon's NPI number?

The NPI number for Timothy Maughon is 1417028507. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Timothy Maughon located?

Timothy Maughon practices at 3855 Pleasant Hill Rd Suite 470, Duluth, GA 30096. The listed phone number is (770) 813-8888.

What is Timothy Maughon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Timothy Maughon enrolled in Medicare?

Yes. Timothy Maughon 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 Timothy Maughon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Maughon reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, GA). 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 Timothy Maughon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Maughon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Timothy Maughon 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 Timothy Maughon 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.