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DR. ERIC GAUGHAN DPM
NPI 1568894517
Podiatrist - Foot & Ankle Surgery in Midland, MI

Active since August 01, 2013PECOS EnrolledAccepts Medicare Assignment
4911 HEDGEWOOD DR, MIDLAND, MI 48640(989) 631-8200 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Eric Gaughan Dpm NPPES

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

DR. ERIC GAUGHAN DPM (NPI 1568894517) is an individual foot & ankle surgery provider in Midland, Michigan, licensed in Michigan (5901002511) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Midland, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1568894517
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. ERIC GAUGHANCredential: DPM
Location Address4911 HEDGEWOOD DRMidland, MI 48640-1930
Mailing Address4911 Hedgewood DrMidland, MI 48640-1930 · (989) 631-8200 · Fax (989) 631-5901
Phone(989) 631-8200
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 1, 2013
Last NPPES UpdateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
✔ NPI 1568894517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MI · 5901002511
4911 HEDGEWOOD DR, Midland, MI 48640
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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. Eric Gaughan Dpm 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 ID7012200082
PECOS Enrollment IDI20160728000658
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 Reassignments

3

Medicare enrollment records show Eric Gaughan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midland Podiatry Associates PLLC
0.1 mi
Podiatrist
4911 HEDGEWOOD DR
Midland, MI 48640
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1073849428 (989) 631-8200
Andrew H Cohen DPM PC
20 mi
Podiatrist
4224 STATE ST
Saginaw, MI 48603
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1770538449 (989) 790-8009
Matthew D Andrews DPM PC
93 mi
Foot & Ankle Surgery
1800 W BIG BEAVER RD STE 150
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • 20 clinicians in this Medicare group
NPI 1992363097 (248) 808-6012

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 10

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
437 services176 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
170 services101 patients
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.
118 services88 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
112 services69 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
64 services64 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
53 services19 patients

Hospital Affiliations CMS Care Compare

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

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%239 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
100%470 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
100%469 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%915 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%914 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
84%234 patients4/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%632 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
49%39 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

DR. DAVID RYAN COHEN DPM
Podiatrist (Foot & Ankle Surgery)
4911 HEDGEWOOD DR
MIDLAND, MI 48640
Midland County (989) 631-8200
MIDLAND PODIATRY ASSOCIATES PLLC
Podiatrist
4911 HEDGEWOOD DR
MIDLAND, MI 48640
Midland County (989) 631-8200
DR. MIKAYLA ANNMARIE GREEN DPM
Podiatrist (Foot & Ankle Surgery)
4911 HEDGEWOOD DR
MIDLAND, MI 48640
Midland County (989) 631-8200
DAVID W. SNIDER, DPM
Podiatrist (Foot & Ankle Surgery)
4911 HEDGEWOOD DR
MIDLAND, MI 48640
Midland County (989) 631-8200
DR. DAVID W SNIDER DPM
Podiatrist (Foot & Ankle Surgery)
4911 HEDGEWOOD DR
MIDLAND, MI 48640
Midland County (989) 631-8200
DR. TODD E LAUGHNER DPM
Podiatrist (Foot & Ankle Surgery)
4911 HEDGEWOOD DR
MIDLAND, MI 48640
Midland County (989) 631-8200

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 Eric Gaughan's NPI number?

The NPI number for Eric Gaughan is 1568894517. It was assigned to this individual provider in the NPPES registry on August 1, 2013.

Where is Eric Gaughan located?

Eric Gaughan practices at 4911 Hedgewood Dr, Midland, MI 48640. The listed phone number is (989) 631-8200.

What is Eric Gaughan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Eric Gaughan enrolled in Medicare?

Yes. Eric Gaughan 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 Eric Gaughan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Gaughan reassigns Medicare benefits to 3 organizations: Midland Podiatry Associates PLLC (Midland, MI), Andrew H Cohen DPM PC (Saginaw, MI) and Matthew D Andrews DPM PC (Troy, MI). 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 Eric Gaughan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Gaughan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Eric Gaughan 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 Eric Gaughan affiliated with any hospitals?

According to CMS data, Eric Gaughan is affiliated with Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Eric Gaughan was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.