ELIZABETH M. GAUGHAN M.D.
NPI 1780842872
Internal Medicine - Hematology & Oncology in Charlottesville, VA

Active since May 27, 2008PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1240 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-9333(434) 244-7526 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Oct 12, 2020, Nov 30, 2015 (3 updates tracked since 2015).

About Elizabeth M. Gaughan M.d. NPPES

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

ELIZABETH M. GAUGHAN M.D. (NPI 1780842872) is an individual hematology & oncology provider in Charlottesville, Virginia, licensed in Virginia (0101251915) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1780842872
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameELIZABETH M. GAUGHANCredential: M.D.
Location Address1240 LEE STCharlottesville, VA 22908-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 244-7526
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2006
Enumeration DateMay 27, 2008
Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
NPI 1780842872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in VA · 0101251915
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 228252 (MA)
1240 LEE ST, Charlottesville, VA 22908

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0001 · Phone (434) 924-0211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elizabeth M. Gaughan 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 ID4385890458
PECOS Enrollment IDI20120806000038
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.

Areas of Expertise CMS Part B claims 4

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.
331 services187 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
224 services105 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
55 services55 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

Internal Medicine (Gastroenterology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Family)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Acute Care)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology & Oncology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Obstetrics & Gynecology (Gynecologic Oncology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908

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 Elizabeth Gaughan's NPI number?

The NPI number for Elizabeth Gaughan is 1780842872. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Elizabeth Gaughan located?

Elizabeth Gaughan practices at 1240 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-9333.

What is Elizabeth Gaughan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Elizabeth Gaughan enrolled in Medicare?

Yes. Elizabeth 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.

Is Elizabeth Gaughan affiliated with any hospitals?

According to CMS data, Elizabeth Gaughan is affiliated with Sentara Rmh Medical Center, University Of Virginia Medical Center, Augusta Health and Novant Health Uva Health System Culpeper Med Cente.

When was this NPI record last updated?

The NPPES record for Elizabeth Gaughan was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.