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EDWIN CLIFFORD MCGOUGH MD
NPI 1487994562
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Salt Lake City, UT

Active since February 26, 2013PECOS Enrolled
705 N PIONEER FORK RD, SALT LAKE CITY, UT 84108(801) 554-9481 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edwin Clifford Mcgough Md NPPES

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

EDWIN CLIFFORD MCGOUGH MD (NPI 1487994562) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Salt Lake City, Utah, licensed in Utah (154013-1205) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487994562
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameEDWIN CLIFFORD MCGOUGHCredential: MD
Location Address705 N PIONEER FORK RDSalt Lake City, UT 84108-1642
Mailing Address705 N Pioneer Fork RdSalt Lake City, UT 84108-1642 · (801) 554-9481
Phone(801) 554-9481
Sole ProprietorYes
Enumeration DateFebruary 26, 2013
Last NPPES UpdateMay 27, 2014
✔ NPI 1487994562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in UT · 154013-1205
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
705 N PIONEER FORK RD, Salt Lake City, UT 84108
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edwin Clifford Mcgough Md 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 84108 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Edwin Mcgough's NPI number?

The NPI number for Edwin Mcgough is 1487994562. It was assigned to this individual provider in the NPPES registry on February 26, 2013.

Where is Edwin Mcgough located?

Edwin Mcgough practices at 705 N Pioneer Fork Rd, Salt Lake City, UT 84108. The listed phone number is (801) 554-9481.

What is Edwin Mcgough's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Edwin Mcgough enrolled in Medicare?

Yes. Edwin Mcgough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edwin Mcgough was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.