Steven Glenn Vaughan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

Q1761 Issued in TX

Practice address

1301 Montgomery Rd
Graham, TX 76450-4240

Phone

(520) 882-2172

Fax

(940) 521-5289

NPI assigned

Dec 28, 2005

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

General Surgery

Education

University of Arizona College of Medicine, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beyondfaith Homecare & Rehab of Graham LLC Home health agency, Graham, TX, CCN 677917
• Graham Regional Medical Center Hospital, Graham, TX, CCN 671300

Merit-based Incentive Payment System (MIPS)

Final score

57.11 of 100Reported as group

Quality

0

Promoting interoperability

100

Improvement activities

40

Cost

57.03

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: steven.vaughan.1@19954.direct.athenahealth.com
• Direct secure messaging: steven.vaughan.1@3494.direct.athenahealth.com

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

• Graham Emergency Services

  dba Graham General Hospital Physicians

  • Orthopaedic Surgery Physician
  • Graham, TX
  • NPI 1801054200

  Single Specialty

  Medicare reassignment NPD
• Graham Hospital District

  • Surgery Physician
  • Graham, TX
  • NPI 1972950467

  Single Specialty

  Medicare reassignment NPD
• Graham Hospital District

  dba Graham Regional Medical Center

  • Critical Access Hospital
  • Graham, TX
  • NPI 1063113983
  NPD
• Graham Regional Medical Center

  • General Acute Care Hospital
  • Graham, TX
  • NPI 1740453000

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beyondfaith Homecare & Rehab of Graham, LLC

  dba BeyondFaith Homecare & Rehab of Graham

  • Home Health Agency
  • Graham, TX
  • NPI 1619928959
  Care Compare affiliation
• Graham Hospital District

  dba Graham Regional Medical Center

  • Critical Access Hospital
  • Graham, TX
  • NPI 1063113983
  Care Compare affiliation

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1366429722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MONTGOMERY RD",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504240",
            "telephone_number": "940-521-5412",
            "fax_number": "940-521-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MONTGOMERY RD",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504240",
            "telephone_number": "520-882-2172",
            "fax_number": "940-521-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "STEVEN",
        "middle_name": "GLENN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "29930",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q1761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven.vaughan.1@19954.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1301 Montgomery Rd",
            "city": "Graham",
            "state": "TX",
            "country_code": "US",
            "postal_code": "764504240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• United Supermarkets LLC (United Pharmacy #0620)
• US-RX-Direct, LLC (US-RX-Direct)
• US-RX-Direct, LLC
• Sadie Jane Vandehey, M.A., LPA; LPC
• Shana Vandergriff, LCDC
• Daniel Vaughn, CRNA
• Joanne Vervynck
• W Patrick Martin MD PA
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0353)
• Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-0353)

• Surgery Physician in Graham, TX
• Providers in Graham, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.