DR. BILLY WAYNE MCGOUGH JR. MD
NPI 1982701462
Orthopaedic Surgery in Birmingham, AL

Active since September 19, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
805 SAINT VINCENTS DR, SUITE100, BIRMINGHAM, AL 35205(205) 939-3699(205) 484-2585 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2025, Jan 10, 2019 (2 updates tracked since 2019).

About Dr. Billy Wayne Mcgough Jr. Md NPPES

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

DR. BILLY WAYNE MCGOUGH JR. MD (NPI 1982701462) is an individual orthopaedic surgery provider in Birmingham, Alabama, licensed in Alabama (MD.30316) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hoover, and is a graduate of University Of Alabama School Of Medicine (2005).

NPPES Registry Identity

NPI1982701462
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BILLY WAYNE MCGOUGH JR.Credential: MD
Location Address805 SAINT VINCENTS DR, SUITE100Birmingham, AL 35205-1636
Mailing Address805 Saint Vincents Dr, Suite 100Birmingham, AL 35205-1636 · (205) 939-3699 · Fax (205) 484-2585
Fax(205) 484-2585
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2005
Enumeration DateSeptember 19, 2006
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
NPI 1982701462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in AL · MD.30316
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
805 SAINT VINCENTS DR, Birmingham, AL 35205

Secondary Practice Location 1

Location 15406 Highway 280 Ste D106Hoover, AL 35242-6596 · Phone (205) 939-3699 · Fax (205) 484-2585

Other Identifiers 1

Medicaid130923AL

Accepted Insurance

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

Dr. Billy Wayne Mcgough 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 ID2365634789
PECOS Enrollment IDI20101004001185
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 15

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
560 services65 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
186 services116 patients
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.
156 services142 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
68 services61 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
68 services40 patients
X-ray of shoulder, 1 view 73020
An X-ray of the shoulder, 1 view, is a quick, painless test that produces images of the bones and tissues within your shoulder. It helps diagnose conditions such as fractures, infections, or arthritis. You'll be positioned to capture the best view, then a small dose of radiation creates the image.
56 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
4 suppliers27 claims27 services$107.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

805 SAINT VINCENTS DR, SUITE 100
BIRMINGHAM, AL 35205
Internal Medicine
805 SAINT VINCENTS DR, SUITE 510
BIRMINGHAM, AL 35205
Physical Medicine & Rehabilitation (Pain Medicine)
805 SAINT VINCENTS DR
BIRMINGHAM, AL 35205
Physical Therapist (Orthopedic)
805 SAINT VINCENTS DR, SUITE G100
BIRMINGHAM, AL 35205
Pediatrics
805 SAINT VINCENTS DR, SUITE 430
BIRMINGHAM, AL 35205
Orthopaedic Surgery (Sports Medicine)
805 SAINT VINCENTS DR, SUITE 100
BIRMINGHAM, AL 35205
Nurse Practitioner (Family)
805 SAINT VINCENTS DR, SUITE 510
BIRMINGHAM, AL 35205
Physician Assistant
805 SAINT VINCENTS DR, SUITE 100
BIRMINGHAM, AL 35205

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 Billy Mcgough's NPI number?

The NPI number for Billy Mcgough is 1982701462. It was assigned to this individual provider in the NPPES registry on September 19, 2006.

Where is Billy Mcgough located?

Billy Mcgough practices at 805 Saint Vincents Dr Suite100, Birmingham, AL 35205. The listed phone number is (205) 939-3699.

What is Billy Mcgough's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Billy Mcgough enrolled in Medicare?

Yes. Billy Mcgough 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.

What insurance does Billy Mcgough accept?

Health plans from Blue Cross and Blue Shield of Alabama list Billy Mcgough 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.

When was this NPI record last updated?

The NPPES record for Billy Mcgough was last updated on May 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.