JUSTIN DEREK CAUGHRON (MD) – Vascular & Interventional Radiology Physician, NPI 1477711919

JUSTIN DEREK CAUGHRON (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. N2024 (TX). The NPI Number for JUSTIN DEREK CAUGHRON (MD) is 1477711919

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN DEREK CAUGHRON (MD)
NPI
1477711919
Phone
(855) 206-4923
Address
PO BOX 1746
Enumeration Date
31 May 2008
Last Update Date
27 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4072002355
Graduation Year
2007 (19 years ago)
PAC ID
7618136110
Group Practice PAC ID
0042383200
Professional Enrollment ID
I20150220002395
Address ID
GA303273813AT4545XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,271 DIAGNOSTIC RADIOLOGY in GA

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Provider Addresses for JUSTIN DEREK CAUGHRON (MD)

  • Indianápolis, Francisco Álvarez, Partido de Moreno, Buenos Aires, 1746, Argentina

    INDIANAPOLIS, IN 462061746

    Phone: (855) 206-4923

    Type: Mailing

  • Gwinnett Medical Center, 1000, Medical Center Boulevard, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    LAWRENCEVILLE, GA 300467694

    Phone: (678) 312-4440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Boston Scientific Corporation ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120301000619IDiagnostic RadiologyTXTBD
I20150220002395IDiagnostic RadiologyGATBD
I20241127003938IDiagnostic RadiologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,50015$0
71250Ct scan of chest without contrast839830$0
71046X-ray of chest, 2 views692687$0
74177Ct scan of abdomen and pelvis with contrast410408$0
71045X-ray of chest, 1 view356311$0
View full utilization report →

Insurance plans in this area (ZIP 46206)

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Provider's Procedures

JUSTIN DEREK CAUGHRON (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYGA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers111108

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042383200View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyMI
Radiation OncologyFL
-MN
Diagnostic RadiologyMA
Diagnostic Radiology, Interventional RadiologyFL
Radiation OncologyWA
-FL
-FL
Interventional RadiologyFL

Reviews

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Frequently asked questions

What is the standard ID for JUSTIN DEREK CAUGHRON (MD) in the U.S.?
In the U.S., JUSTIN DEREK CAUGHRON (MD) is identified by NPI 1477711919.
Is JUSTIN DEREK CAUGHRON (MD)'s NPI status active today?
Active status means JUSTIN DEREK CAUGHRON (MD)'s NPI record is not deactivated in the public file.
What type of care does JUSTIN DEREK CAUGHRON (MD) provide?
JUSTIN DEREK CAUGHRON (MD)'s profile centers on Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JUSTIN DEREK CAUGHRON (MD)?
JUSTIN DEREK CAUGHRON (MD) shows a connection to Indianapolis, Indiana in registry-derived data.
Can I export JUSTIN DEREK CAUGHRON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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