Cory B Maughan, D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

9869105-1204 Issued in UT

Practice address

169 N Gateway Dr Ste 100
Providence, UT 84332

Phone

(541) 999-4475

NPI assigned

Jun 22, 2010

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA, UT, AZ, WY, MT, OK, ID8 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 8

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Midwestern University, Chicago College of Osteopathic Med, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LP Derm LLCGroup PAC ID 9537533856, 3 clinicians

Draper Dermatology PCGroup PAC ID 4688928526, 6 clinicians

Clear Choice DermatologyGroup PAC ID 4789005034, 47 clinicians

Epiphany Dermatology of Montana PLLCGroup PAC ID 9537593710, 15 clinicians

Epiphany Dermatology of Oklahoma LLCGroup PAC ID 5597042903, 5 clinicians

South Lincoln Hospital DistrictGroup PAC ID 2961490057, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.28 of 100Reported as group

Quality

48.55

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90 of 100Reported as group

Quality

80

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.69 of 100Reported as group

Quality

91.59

Promoting interoperability

94

Improvement activities

40

Cost

76.9

Merit-based Incentive Payment System (MIPS)

Final score

91.16 of 100Reported as group

Quality

92.95

Improvement activities

40

Cost

79.95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 33)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16971/brand/1/csg/1/fhir/r4
• Direct secure messaging: cory.maughan.1@16971.direct.athenahealth.com
• Direct secure messaging: cory.maughan.1@17373.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LP Derm LLC

  dba Lone Pine Dermatology

  • Dermatology Physician
  • Providence, UT
  • NPI 1538875786

  ID

  Medicare reassignment Care Compare group NPD Authorized official
• Clear Choice Dermatology

  dba The Skin Docs

  • Dermatology Physician
  • The Dalles, OR
  • NPI 1891327185

  WA

  Medicare reassignment Care Compare group NPD
• Draper Dermatology, P.C.

  • Dermatology Physician
  • Evanston, WY
  • NPI 1942832159
  Medicare reassignment Care Compare group NPD
• Epiphany Dermatology of Montana, PLLC

  • Dermatology Physician
  • Butte, MT
  • NPI 1902455074
  Medicare reassignment Care Compare group NPD
• Epiphany Dermatology of Oklahoma, LLC

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1801320106
  Medicare reassignment Care Compare group NPD
• South Lincoln Hospital District

  dba South Lincoln Medical Center

  • Rural Acute Care Hospital
  • Kemmerer, WY
  • NPI 1033221569
  Medicare reassignment Care Compare group NPD
• Draper Dermatology, P.C.

  • Dermatology Physician
  • South Jordan, UT
  • NPI 1093224818
  Medicare reassignment NPD
• Rocky Mountain Dermatology Inc

  • Dermatology Physician
  • North Logan, UT
  • NPI 1154527372
  Medicare reassignment NPD
• Epiphany Dermatology of Arizona, LLC

  • Dermatology Physician
  • Peoria, AZ
  • NPI 1457465858
  Medicare reassignment NPD
• La Laser Center, PC, a Professional Medical Corporation

  • Multi-Specialty Clinic/Center
  • San Clemente, CA
  • NPI 1306982855

  AZ, Dermatology

  Medicare reassignment NPD
• Paul D. Reicherter, MD, PC

  • Clinical & Laboratory Dermatological Immunology Physician
  • Roseburg, OR
  • NPI 1407055437

  Dermatology

  Medicare reassignment NPD
• Academy Dermatologists Group LLC

  • Procedural Dermatology Physician
  • Tucson, AZ
  • NPI 1144588047
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1598086720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BLDG 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787303255",
            "telephone_number": "512-759-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 N GATEWAY DR STE 100",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "84332",
            "telephone_number": "541-999-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Eubank Blvd NE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871111519",
            "country_code": "US",
            "telephone_number": "505-292-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUGHAN",
        "first_name": "CORY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2023-02-16",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "PG151474",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "UT",
            "license": "9869105-1204",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "DO155462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Lyon, RBT
• Candice Elizabeth Macari, PA-C
• Maceys Inc (Maceys Pharmacy #8)
• Julie Martin, DAOM
• James Dennis Mathews, DO
• Jason O May, D.D.S.
• Deborah Reed McBride
• Vonda Michelle McBride, APRN
• Tyler Clark McDougal, RBT
• Jessica McEwan, RBT

• MOHS-Micrographic Surgery Physician in Providence, UT
• Providers in Providence, UT by specialty
• MOHS-Micrographic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.