JUSTIN DEREK CAUGHRON MD
NPI 1477711919
Radiology - Vascular & Interventional Radiology in Lawrenceville, GA
About Justin Derek Caughron Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN DEREK CAUGHRON MD (NPI 1477711919) is an individual vascular & interventional radiology provider in Lawrenceville, Georgia, licensed in Georgia (68491) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
Justin Derek Caughron 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.
Medicare Billing Reassignments
9Medicare enrollment records show Justin Caughron reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrenceville, GA 30045
- Reassigned Medicare billing, Georgia enrollment
- 43 clinicians in this Medicare group
Lake Mary, FL 32746
- Reassigned Medicare billing, Florida and Georgia enrollments
- 433 clinicians in this Medicare group
Orlando, FL 32803
- Reassigned Medicare billing, Florida and Georgia enrollments
- 428 clinicians in this Medicare group
Tampa, FL 33613
- Reassigned Medicare billing, Georgia enrollment
- 16 clinicians in this Medicare group
Columbus, OH 43219
- Reassigned Medicare billing, Texas enrollment
- 75 clinicians in this Medicare group
Tamarac, FL 33321
- Reassigned Medicare billing, Florida enrollment
- 84 clinicians in this Medicare group
Pearland, TX 77584
- Reassigned Medicare billing, Texas enrollment
- 58 clinicians in this Medicare group
Houston, TX 77055
- Reassigned Medicare billing, Texas enrollment
- 169 clinicians in this Medicare group
Scottsdale, AZ 85251
- Reassigned Medicare billing, Georgia enrollment
- 13 clinicians in this Medicare group
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 102
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Orlando
Acute Care Hospitals · Orlando, FLAdventhealth Waterman
Acute Care Hospitals · Tavares, FLAdventhealth Daytona Beach
Acute Care Hospitals · Daytona Beach, FLNorthside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GANorthside Hospital Duluth
Acute Care Hospitals · Duluth, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 Justin Caughron's NPI number?
The NPI number for Justin Caughron is 1477711919. It was assigned to this individual provider in the NPPES registry on May 31, 2008.
Where is Justin Caughron located?
Justin Caughron practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-4440.
What is Justin Caughron's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Justin Caughron enrolled in Medicare?
Yes. Justin Caughron 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 Justin Caughron's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Caughron reassigns Medicare benefits to 9 organizations: North Metropolitan Radiology Associates, LLP (Lawrenceville, GA), Florida Radiology Imaging At Lake Mary, LLC (Lake Mary, FL), Florida Hospital Medical Group Inc (Orlando, FL), Simonmed Imaging Florida LLC (Tampa, FL), American Oncology Partners PA (Columbus, OH) and 4 more organizations, listed in the Medicare section above. 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 Justin Caughron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Caughron accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Justin Caughron 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 Justin Caughron affiliated with any hospitals?
According to CMS data, Justin Caughron is affiliated with Adventhealth Orlando, Adventhealth Waterman, Adventhealth Daytona Beach, Northside Hospital Gwinnett and Northside Hospital Duluth.
When was this NPI record last updated?
The NPPES record for Justin Caughron was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.