Amy A Vaughan II, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

18579 Issued in WV

Practice address

6007 US Route 60 E
Suite 130
Barboursville, WV 25504-1042

Phone

(304) 733-3333

Fax

(304) 733-3666

NPI assigned

Oct 27, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Amy A Keaton Other name

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

JC Edwards School of Medicine, Marshall University, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amy a Vaughan Dermatology PLLCGroup PAC ID 5890792485, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.35 of 100Reported as group

Quality

87.95

Promoting interoperability

100

Improvement activities

40

Cost

79.88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amy a Vaughan Dermatology PLLC

  • Procedural Dermatology Physician
  • Barboursville, WV
  • NPI 1154411908
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073503223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 937",
            "address_2": "6007 US ROUTE 60 E SUITE 130",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "25504",
            "telephone_number": "304-733-3333",
            "fax_number": "304-733-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 US ROUTE 60 E",
            "address_2": "SUITE 130",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041042",
            "telephone_number": "304-733-3333",
            "fax_number": "304-733-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "AMY",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "18579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070108000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KEATON",
            "middle_name": "A",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Glenda Lee Vanmetre
• Harlie Anna Vannatter, BS
• Cathy Varian
• Caitlin Varner
• Savannah Varner
• Star Vaughn
• Diamond Vega
• Manuel Velez
• Tyra Venning
• Leslie Anne Vensel

• Dermatology Physician in Barboursville, WV
• Providers in Barboursville, WV by specialty
• Dermatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.