DR. ANGELA RENEE GOUGH (D.O.) – Addiction Psychiatry Physician, NPI 1215229646
Addiction Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8 ADDICTION MEDICINE in HI
Provider Addresses for DR. ANGELA RENEE GOUGH (D.O.)
40 AULIKE ST
SUITE 312
KAILUA, HI 967342758
Phone: (808) 261-7792
Type: Mailing
677 ALA MOANA BLVD STE 226
HONOLULU, HI 968135416
Phone: (808) 521-2437
Type: Location
677 ALA MOANA BLVD
STE 226
HONOLULU, HI 968135499
Phone: (808) 521-2437
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 100 Open Payments records for all available years, with a total value of $2,200.
Total Amount is formed as General ($2,200) + Research ($0) + Ownership ($0) = $2,200.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Indivior Inc. ($444).
Total Amount
$2,200
General + Research + Ownership
Payments
100
Total payment records
General Amount
$2,200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $444 |
| ABBVIE INC. | $407 |
| ViiV Healthcare Company | $313 |
| Alkermes, Inc. | $278 |
| Teva Pharmaceuticals USA, Inc. | $219 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200901003494 | I | Addiction Medicine | HI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96734)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | HI | |
| Nurse Practitioner | TN |
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