DR. ERIC THOMAS GAUGHAN PH.D.
NPI 1487904413
Psychologist - Clinical in Kansas City, MO

Q: What is Eric Gaughan's NPI number?

The NPI number for Eric Gaughan is 1487904413. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Q: What is Eric Gaughan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Eric Gaughan enrolled in Medicare?

No. Eric Gaughan has opted out of Medicare through July 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Eric Gaughan was last updated on September 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 18, 2012Opted out of Medicare · through Jul 8, 2027

300 W 19TH TER, KANSAS CITY, MO 64108(816) 803-3545 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Eric Thomas Gaughan Ph.d. NPPES

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

DR. ERIC THOMAS GAUGHAN PH.D. (NPI 1487904413) is an individual clinical provider in Kansas City, Missouri, licensed in Missouri (2012001804) and active in the NPI registry since September 2012. He has opted out of Medicare through July 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487904413

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ERIC THOMAS GAUGHANCredential: PH.D.

Location Address300 W 19TH TERKansas City, MO 64108-2026

Mailing Address300 W 19th TerKansas City, MO 64108-2026

Phone(816) 803-3545

Sole ProprietorNo

Enumeration DateSeptember 18, 2012

✔ NPI 1487904413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MO · 2012001804

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

300 W 19TH TER, Kansas City, MO 64108

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Eric Thomas Gaughan Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 8, 2015 through July 8, 2027.

Opt-Out Effective DateJuly 8, 2015

Opt-Out In Effect ThroughJuly 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 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

$168.52 typical visit price

range $55.29 – $168.52

Typical copayment $42.13 (range $13.82 – $42.13)

Most-billed visit code 99205

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

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 20

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

DR. DAVID MCDOUGALD TERRY M.D.

Psychiatry & Neurology (Psychiatry)