JOHN R GAUGHEN JR. MD
NPI 1942418660
Radiology - Vascular & Interventional Radiology in Charlottesville, VA

Q: What is John Gaughen's NPI number?

The NPI number for John Gaughen is 1942418660. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is John Gaughen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for John Gaughen was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment

94.07/100

CMS Quality Rating

500 MARTHA JEFFERSON DR FL 4, CHARLOTTESVILLE, VA 22911(434) 654-8960(434) 654-8962 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2025, Sep 30, 2020, Mar 14, 2019 and 2 more (5 updates tracked since 2018).

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About John R Gaughen Jr. Md NPPES

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

JOHN R GAUGHEN JR. MD (NPI 1942418660) is an individual vascular & interventional radiology provider in Charlottesville, Virginia, licensed in Virginia (0101236042) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of University Of Virginia School Of Medicine (2002).

NPPES Registry Identity

NPI1942418660

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameJOHN R GAUGHEN JR.Credential: MD

Location Address500 MARTHA JEFFERSON DR FL 4Charlottesville, VA 22911-4668

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5353

Phone(434) 654-8960

Fax(434) 654-8962

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2002

Enumeration DateMay 18, 2007

Last NPPES UpdateApril 3, 20255 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1942418660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in VA · 0101236042

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 0101236042 (VA)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 0101236042 (VA)

500 MARTHA JEFFERSON DR FL 4, Charlottesville, VA 22911

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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 and accepts Medicare assignment

John R Gaughen Jr. Md 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 ID7113099854

PECOS Enrollment IDI20080711000449

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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

54 services30 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.

35 services31 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

33 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services21 patients

Imaging of blood vessel 75898

Imaging of blood vessels, also known as vascular imaging, is a non-invasive procedure that allows doctors to view the condition of your blood vessels. It employs techniques like ultrasound, CT scan, or MRI to capture images, enabling the detection of blockages or abnormalities.

21 services17 patients

3d radiographic procedure with computerized image postprocessing 76377

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

20 services20 patients

Occlusion of central nervous system or spinal cord artery 61624

This procedure involves blocking a central nervous system or spinal cord artery to prevent blood flow. It's typically done to treat conditions like aneurysms or vascular malformations. It can help prevent strokes, bleeding, or other serious issues.

19 services16 patients

Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist 36223

This procedure involves placing a tube into an artery in the brain. It's typically done for diagnostic purposes or treatment. A radiologist, a doctor specializing in imaging, reviews the process to ensure accuracy and safety.

18 services17 patients

Insertion of tube into chest or arm artery, initial third order branch 36217

This is a procedure where a thin tube, called a catheter, is inserted into an artery in your chest or arm. It is guided to a third order branch, which is a smaller artery. This can help doctors diagnose or treat certain conditions by allowing them to see or access these arteries directly.

17 services16 patients

Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226

This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.

17 services16 patients

Review by radiologist of image for insertion of material to block blood flow 75894

This procedure involves a radiologist examining an image to plan the placement of a substance that will block blood flow in a specific area. This is usually done to prevent bleeding or to cut off the blood supply to a growth.

17 services17 patients

Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance 61645

This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.

15 services15 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490024

Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County

Emergency services Birthing friendly

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490059

Location5801 Bremo RdRichmond, VA 23226 · Richmond City County

Emergency services Birthing friendly

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490067

Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County

Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490069

Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County

Emergency services Birthing friendly

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490136

Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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.

94.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.44

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 9

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

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