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DR. CHARLES THOMAS MCGOUGH D.D.S.
NPI 1922269208
Dentist - General Practice in Longview, TX

Active since June 19, 2008PECOS Enrolled
2392 H G MOSLEY PKWY, LONGVIEW, TX 75604(903) 758-8770(903) 758-3334 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles Thomas Mcgough D.d.s. NPPES

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

DR. CHARLES THOMAS MCGOUGH D.D.S. (NPI 1922269208) is an individual general practice provider in Longview, Texas, licensed in Texas (16925) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922269208
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES THOMAS MCGOUGHCredential: D.D.S.
Location Address2392 H G MOSLEY PKWYLongview, TX 75604-3661
Mailing Address2392 H G Mosley PkwyLongview, TX 75604-3661 · (903) 758-8770 · Fax (903) 758-3334
Phone(903) 758-8770
Fax(903) 758-3334
Sole ProprietorNo
Enumeration DateJune 19, 2008
✔ NPI 1922269208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 16925
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2392 H G MOSLEY PKWY, Longview, TX 75604
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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)

Dr. Charles Thomas Mcgough D.d.s. 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 75604 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 2

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

DR. KATHERINE RENEE MCGOUGH D.D.S.
Dentist (Pediatric Dentistry)
2392 H G MOSLEY PKWY
LONGVIEW, TX 75604
Gregg County (903) 758-8770
MCGOUGH & MCGOUGH, P.C.
Dentist (General Practice)
2392 H G MOSLEY PKWY
LONGVIEW, TX 75604
Gregg County (903) 758-8770

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 Charles Mcgough's NPI number?

The NPI number for Charles Mcgough is 1922269208. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Charles Mcgough located?

Charles Mcgough practices at 2392 H G Mosley Pkwy, Longview, TX 75604. The listed phone number is (903) 758-8770.

What is Charles Mcgough's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Charles Mcgough enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Mcgough was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.