Caitlin Gaughan, OD
NPI 1437757473 · Optometrist · Shelbyville, IL
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Caitlin Gaughan, OD is a Optometrist provider in Shelbyville, IL (NPI 1437757473).
Provider details
- NPI number
- 1437757473
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 046.011474 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
742 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 240 | $118 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 190 | $84 |
| Microfluid Analysis of Tears83861 | 102 | $22 |
| Established Patient Complete Exam of Visual System92014 | 49 | $117 |
| Imaging of Retina92134 | 45 | $37 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 33 | $150 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 115 | 87 |
| Latanoprost | 56 | 13 |
| Cyclosporinebrand: Restasis | 32 | 17 |
| Ketorolac Tromethamine | 14 | — |
| Acyclovir | 13 | — |
| Timolol Maleate | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,013 across 29 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2442 N Route 121Decatur, IL 62526-9461Phone: (217) 233-3101
Registry dates
- Enumerated
- 2020-10-13
- Last updated
- 2020-10-13
- Certified
- 2020-08-07
Frequently asked questions
- What is Caitlin Gaughan's NPI number?
- Caitlin Gaughan's National Provider Identifier (NPI) is 1437757473, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Caitlin Gaughan's specialty?
- Caitlin Gaughan is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Caitlin Gaughan located?
- Caitlin Gaughan's practice location on file with NPPES is 102 N Heinlein Dr, Shelbyville, IL 62565-9050.
- What is Caitlin Gaughan's phone number?
- The practice phone number listed in the NPPES registry for Caitlin Gaughan is (217) 774-4422.
- Does Caitlin Gaughan accept Medicare?
- Caitlin Gaughan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Caitlin Gaughan's NPI active?
- Yes — Caitlin Gaughan's NPI (1437757473) is active in the NPPES registry as of the last update on 2020-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.