Dr Mark D Gaughan, MD - Medicare Dermatology in Durango, CO

Dr Mark D Gaughan, MD is a medicare enrolled "Dermatology" physician in Durango, Colorado. He went to University Of New Mexico School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Durango Dermatology And Dermatologic Surgery Llc and his current practice location is 523b South Camino Del Rio, Durango, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 247-2970.

Dr Mark D Gaughan is licensed to practice in Colorado (license number 37711) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790792851.

Contact Information

Dr Mark D Gaughan, MD
523b South Camino Del Rio,
Durango, CO 81303-6853
(970) 247-2970
(970) 259-1668

Map and Direction




Physician's Profile

Full NameDr Mark D Gaughan
GenderMale
SpecialityDermatology
Experience27 Years
Location523b South Camino Del Rio, Durango, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark D Gaughan attended and graduated from University Of New Mexico School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1790792851
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 07/30/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1456303742
  • Enrollment ID: I20050307000301

Medical Identifiers

Medical identifiers for Dr Mark D Gaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790792851NPI-NPPES
06977529MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 37711 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Regional Medical CenterDurango, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Durango Dermatology And Dermatologic Surgery Llc11533759026

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark D Gaughan allows following entities to bill medicare on his behalf.
Entity NameDurango Dermatology And Dermatologic Surgery Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497811160
PECOS PAC ID: 1153375902
Enrollment ID: O20050304000492

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark D Gaughan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark D Gaughan, MD
523 S Camino Del Rio Ste B,
Durango, CO 81303-6853

Ph: (970) 247-1970
Dr Mark D Gaughan, MD
523b South Camino Del Rio,
Durango, CO 81303-6853

Ph: (970) 247-2970

Reviews and Comments


Dermatology Doctors in Durango, CO

Lawrence J Gaughan, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 523b South Camino Del Rio, Durango, CO 81303
Phone: 970-247-1970    Fax: 970-259-1668
Dr. Carmen Julian, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 523 S Camino Del Rio, Ste B, Durango, CO 81303
Phone: 970-247-1970    Fax: 970-259-1668
Susan F Sanders, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3649 Main Ave, Durango, CO 81301
Phone: 970-375-1707    Fax: 970-382-9518
Dr. Bruce Godfrey Howard, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 555 Rivergate Lane, B3-161, Durango, CO 81301
Phone: 970-385-4539    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.