Mark D Gaughan, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

37711 Issued in CO

Practice address

523B South Camino del Rio
Durango, CO 81303-6853

Phone

(970) 247-2970

Fax

(970) 259-1668

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Dermatology

Education

University of New Mexico School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Durango Dermatology and Dermatologic Surgery LLCGroup PAC ID 1153375902, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Durango Dermatology and Dermatologic Surgery LLC

  • Dermatology Physician
  • Durango, CO
  • NPI 1497811160
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1083611644
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1588204010
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1679113104
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Aztec, NM
  • NPI 1770123382
  Care Compare affiliation

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1790792851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S CAMINO DEL RIO STE B",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036853",
            "telephone_number": "970-247-1970",
            "fax_number": "970-259-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523B SOUTH CAMINO DEL RIO",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036853",
            "telephone_number": "970-247-2970",
            "fax_number": "970-259-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGHAN",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "37711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06977529",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey J Gardner, P.A.C.
• Diana L Garner, RN
• Jill A Garvin
• Caleb Frank Gates III, L.AC. CMT
• Lawrence J Gaughan, MD
• Grant Gebhard
• Richelle Gensheer, L.AC., DIPL. O.M.
• Theresa Rae Gent, PA-C
• Patrick Gerstenberger, M.D.
• Susan Denise Ghani, MD

• Dermatology Physician in Durango, CO
• Providers in Durango, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.