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

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

Other identifiers 1

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@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 and National Provider Directory roles.

• Graham Emergency Services

  • Orthopaedic Surgery Physician
  • Graham, TX
  • NPI 1801054200

  Single Specialty, TX

  Medicare reassignment NPD
• Graham Hospital District

  • Surgery Physician
  • Graham, TX
  • NPI 1972950467

  Single Specialty, TX

  Medicare reassignment NPD
• Graham Hospital District

  • 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

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

  • Critical Access Hospital
  • Graham, TX
  • NPI 1063113983

  Hospital

  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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401019101",
            "state": "TX"
        }
    ],
    "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
• US-RX-Direct, LLC
• 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
• Wal-Mart Stores Texas, LLC

• 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.