John Gaughen, MD
NPI 1942418660 · Vascular & Interventional Radiology Physician · Charlottesville, VA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Gaughen, MD is a Vascular & Interventional Radiology Physician provider in Charlottesville, VA (NPI 1942418660).
Provider details
- NPI number
- 1942418660
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101236042 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
303 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 54 | $78 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 35 | $179 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 33 | $170 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 24 | $117 |
| Imaging of Blood Vessel75898 | 21 | $87 |
| 3d Radiographic Procedure With Computerized Image Postprocessing76377 | 20 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clopidogrel Bisulfatebrand: Clopidogrel | 21 | 12 |
| Ticagrelorbrand: Brilinta | 17 | — |
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.
$147,340 across 63 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 (2)
- 1871 Evelyn Byrd AveHarrisonburg, VA 22801-3487Phone: (434) 654-8960Fax: (434) 654-8962
- 1906 Belleview Ave SeRoanoke, VA 24014-1838Phone: (540) 981-7000
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Frequently asked questions
- What is John Gaughen's NPI number?
- John Gaughen's National Provider Identifier (NPI) is 1942418660, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Gaughen's specialty?
- John Gaughen is listed in the NPPES registry with a primary specialty of Vascular & Interventional Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is John Gaughen located?
- John Gaughen's practice location on file with NPPES is 500 Martha Jefferson Dr Fl 4, Charlottesville, VA 22911-4668.
- What is John Gaughen's phone number?
- The practice phone number listed in the NPPES registry for John Gaughen is (434) 654-8960.
- Does John Gaughen accept Medicare?
- John Gaughen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Gaughen's NPI active?
- Yes — John Gaughen's NPI (1942418660) is active in the NPPES registry as of the last update on 2025-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.