NPIMap

Individual provider Active NPI

Vaughan Richard Bowen, MD

  • Otolaryngology Physician
  • Rapid City, SD
National Provider Identifier
1376520049
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
11214 Issued in SD
Practice address
4447 S Canyon Rd Ste 6
Rapid City, SD 57702-1889
Phone
(605) 716-0548
Fax
(605) 716-0447
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 11214 SD Primary
Otolaryngology Physician 207Y00000X 2020030112 MO
Otolaryngology Physician 207Y00000X 20580 NE

Addresses

Primary practice location

4447 S Canyon Rd Ste 6
Rapid City, SD 57702-1889

Mailing address

4447 S Canyon Rd Ste 6
Rapid City, SD 57702-1889
Phone (605) 716-0548

Other practice location 1

101 Mosaic Ct Ste 300
Saint Joseph, MO 64506-0015
Phone (816) 671-4840

Other identifiers 3

IdentifierTypeStateIssuer
03182OtherNEBCBSNE
47053662300MedicaidNE
2000890207MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190221002867 SD Practitioner - Otolaryngology 4981617313 Reassigns benefits to 1 organization
I20201008002963 MO Practitioner - Otolaryngology 4981617313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Rapid City Hospital IncGroup PAC ID 6002729506, 560 clinicians

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

4150 5TH St
Rapid City, SD 57701-6022
Phone (605) 755-4100

Hospital & facility affiliations

  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
  • Monument Health Custer Hospital Hospital, Custer, SD, CCN 431323
  • Monument Health Spearfish Hospital Hospital, Spearfish, SD, CCN 430048

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2020030112MOMDOtolaryngology Physician
20580NEMDOtolaryngology Physician
11214SDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Northwest Medical Center Association Inc CurrentSince Mar 27, 2025 Accepting new patients
Northwest Medical Center Association Inc CurrentSince Mar 27, 2025 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Mar 27, 2025 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Mar 27, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Jan 5, 2023 Accepting new patients
Summit Allergy Asthma ENT PLLC Otolaryngology Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jan 5, 2023 Accepting new patients
Midwest Ear Nose & Throat Specialists PC Otolaryngology PastSince Jan 1, 2013 Accepting new patients

Locations

705 N College St
Albany, MO 64402
Phone (660) 726-3941

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

2024 S Main St
Maryville, MO 64468
Phone (660) 562-2566

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

4940 5th St
Ste 2B
Rapid City, SD 57701
Phone (605) 716-6390

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

4447 S Canyon Rd
Ste 6
Rapid City, SD 57702
Phone (605) 484-8424

Organizations & group practices 10

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1376520049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 S CANYON RD STE 6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021889",
            "telephone_number": "605-716-0548",
            "fax_number": "605-716-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 S CANYON RD STE 6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021889",
            "telephone_number": "605-716-0548",
            "fax_number": "605-716-0447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Mosaic Ct Ste 300",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645060015",
            "country_code": "US",
            "telephone_number": "816-671-4840",
            "fax_number": "816-671-4845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "VAUGHAN",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SD",
            "license": "11214",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2020030112",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "20580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNE",
            "identifier": "03182",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47053662300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000890207",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.