NPPES file of Aug 9, 2026

Billy Wayne McGough, MD

Orthopaedic Surgery Physician · Birmingham, AL

Billy Wayne McGough, MD is an orthopaedic surgery physician with a practice address in Birmingham, Alabama, and NPI 1982701462, issued on Sep 19, 2006. Check the license (Alabama MD.30316, as entered in NPPES) on the Alabama Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1982701462
Name
Billy Wayne McGough
Credential
MD
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License number
MD.30316 AL
Self-reported in NPPES; status is on the state search
Practice location
805 Saint Vincents Dr, Birmingham, AL 35205
Phone
(205) 939-3699
Enumerated
Sep 19, 2006
Record last updated
May 5, 2025
Fax
(205) 484-2585
Medicaid ID
130923 AL
Medicare enrollment
Enrolled (PECOS I20101004001185); accepts Medicare assignment
Medical or professional school
University Of Alabama School Of Medicine, 2005
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 805 Saint Vincents Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kelli AndersonOccupational Therapist1295748945
  2. Emily Bell Casey, M.D.Internal Medicine Physician1831132083
  3. Melissa BentleyContractor1609168335
  4. Emily Bernstein Tidwell, CRNPFamily Nurse Practitioner1124311899
  5. Stephen Blair, MDPediatrics Physician1164434353
  6. Zachary Boylan, M.D.Family Medicine Physician1356670509

Verify Billy Wayne McGough in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersAlabama Board of Medical Examiners
    Search for license MD.30316
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Alabama license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.7 times the Medicare Part D claims of the average orthopaedic surgery physician in 2024

937 Medicare Part D claims for 271 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 226 claims were for opioids.

  1. Billy McGough937
  2. Specialty average346

Most prescribed

  1. Cephalexin222 claims
  2. Oxycodone-Acetaminophen195 claims
  3. Ondansetron Hcl194 claims
  4. Methocarbamol143 claims
  5. Cyclobenzaprine Hcl43 claims
  6. Meloxicam26 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,460.68

11 payments; by number, the most common kind was food and beverage; the largest payer was Prime Surgical, LLC. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Billy McGough$1,461
  2. Specialty average$23,023

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Stv Sports Medicine And Orthopedics LLCBirmingham, AL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Billy Wayne McGough among 340 orthopaedic surgery physician records in Alabama

Billy Wayne McGough, MD is one of 340 orthopaedic surgery physician records with a practice address in Alabama. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 14% of them.

  • NPI issued2006 · 14% of these records are older, 44% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated2005 · median 2002 among the 230 with a school on file
  • Record last updated2025 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Alabama practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery Physician providers in Alabama

There are 340 orthopaedic surgery physician records in Alabama.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. David Buggay, MDBirmingham, AL 352051134197171
  2. Andrew Cordover, MDBirmingham, AL 352051487622429
  3. Jeffrey Cusmariu, MDBirmingham, AL 352051104894021
  4. Jeffrey Davis, M. D.Birmingham, AL 352051538198189
  5. Jeffrey Dugas, MDBirmingham, AL 352051912974734
  6. Ashley Estes, MDBirmingham, AL 352051457560245
  7. Thomas Johnson, MDBirmingham, AL 352051265430557
  8. Michael Johnson, M.D.Birmingham, AL 352051275748428

Common questions

What is Billy Wayne McGough, MD's NPI number?

Billy Wayne McGough, MD's National Provider Identifier (NPI) is 1982701462, issued on Sep 19, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Billy Wayne McGough, MD located?

The NPPES record lists a practice address at 805 Saint Vincents Dr, Birmingham, AL, 35205. Phone: (205) 939-3699. Providers update this record themselves, so call before visiting.

How can I verify Billy Wayne McGough, MD's license?

NPPES lists Alabama license number MD.30316, as entered by the provider. Search the Alabama Board of Medical Examiners at https://www.albme.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Billy Wayne McGough, MD prescribe under Medicare Part D?

In 2024, Billy Wayne McGough, MD had 937 Medicare Part D claims for 271 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is Billy Wayne McGough, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.