NPPES file of Aug 9, 2026

John R. Gaughen, MD

Vascular & Interventional Radiology Physician · Charlottesville, VA

John R. Gaughen, MD is a vascular & interventional radiology physician with a practice address in Charlottesville, Virginia, and NPI 1942418660, issued on May 18, 2007. Check the license (Virginia 0101236042, as entered in NPPES) on the Virginia Department of Health Professions; 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
1942418660
Name
John R. Gaughen
Credential
MD
Primary taxonomy
Vascular & Interventional Radiology Physician 2085R0204X
License number
0101236042 VA
Self-reported in NPPES; status is on the state search
Practice location
500 Martha Jefferson Dr FL 4, Charlottesville, VA 22911
Phone
(434) 654-8960
Enumerated
May 18, 2007
Record last updated
Apr 3, 2025
Fax
(434) 654-8962
Medicare enrollment
Enrolled (PECOS I20080711000449); accepts Medicare assignment
Medical or professional school
University Of Virginia School Of Medicine, 2002
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 500 Martha Jefferson Dr FL 4

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

  1. Robert Adams, MDNeurology Physician1003896762
  2. Mary Jensen, MDVascular & Interventional Radiology Physician1205914157
  3. Margaret KleinotPhysician Assistant1245681212
  4. Michelle Lee, M.D.Neurology Physician1871972976
  5. Mark Mason, M.D.Neurology Physician1366886921
  6. Christopher Scherer, M.D.Neurology Physician1861444374

Verify John R. Gaughen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101236042
    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 Virginia 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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24% fewer Medicare Part D claims than the average vascular & interventional radiology physician in 2024

57 Medicare Part D claims for 24 beneficiaries, against an average of 75 among the 1,444 providers of this specialty who prescribed in Part D. Brand-name drugs were 30% of claims.

  1. John Gaughen57
  2. Specialty average75

Most prescribed

  1. Clopidogrel21 claims
  2. Brilinta17 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 MIPS final score for 2023 (Medicare payment program): 95.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score86.3
  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; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $147,339.51

63 payments; by number, the most common kind was food and beverage; the largest payer was Medical Device Business Services, Inc. The 3,457 providers of this specialty with any payment received $7,206.73 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. John Gaughen$147,340
  2. Specialty average$7,207

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

2 hospitals and group practices

  1. Carilion Medical CenterRoanoke, VA · Acute Care Hospitals3 of 5 stars
  2. Commonwealth Radiology PCRichmond, VA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

John R. Gaughen among 152 vascular & interventional radiology physician records in Virginia

John R. Gaughen, MD is one of 152 vascular & interventional radiology physician records with a practice address in Virginia. 91% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 26% of them.

  • NPI issued2007 · 26% of these records are older, 61% newer
  • In a Medicare fileYes · 91% of these records are
  • In the CMS Doctors and Clinicians fileYes · 84% of these records are
  • Graduated2002 · median 2009 among the 127 with a school on file
  • Record last updated2025 · 30% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0204X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Vascular & Interventional Radiology Physician providers in Virginia

There are 152 vascular & interventional radiology physician records in Virginia.

The 8 vascular & interventional radiology physician records with the nearest ZIP codes

  1. Douglas Hidlay, M.D.Charlottesville, VA 229111801208749
  2. Mary Jensen, MDCharlottesville, VA 229111205914157
  3. Marc KrygerCharlottesville, VA 229111962067991
  4. Vishnu Chandra, MDCharlottesville, VA 229081740740034
  5. Chandler FountainCharlottesville, VA 229081073047965
  6. Brian Gardner, M.D.Charlottesville, VA 229081356785455
  7. Klaus Hagspiel, M.D.Charlottesville, VA 229081750430070
  8. Jeanette Hemp, M.D.Charlottesville, VA 229081619267523

Common questions

What is John R. Gaughen, MD's NPI number?

John R. Gaughen, MD's National Provider Identifier (NPI) is 1942418660, issued on May 18, 2007. An NPI identifies a provider in billing; it is not a license.

Where is John R. Gaughen, MD located?

The NPPES record lists a practice address at 500 Martha Jefferson Dr FL 4, Charlottesville, VA, 22911. Phone: (434) 654-8960. Providers update this record themselves, so call before visiting.

How can I verify John R. Gaughen, MD's license?

NPPES lists Virginia license number 0101236042, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does John R. Gaughen, MD prescribe under Medicare Part D?

In 2024, John R. Gaughen, MD had 57 Medicare Part D claims for 24 beneficiaries; the average among vascular & interventional radiology physician prescribers was 75. Part D covers Medicare prescriptions only.

What is John R. Gaughen, MD's MIPS final score?

The 2023 MIPS final score is 95.1 of 100. 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.