NPIMap

Individual provider Active NPI

David Arthur Vaughn, M.D.

  • Surgery Physician
  • Lancaster, PA
National Provider Identifier
1639339542
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD432903 Issued in PA
Practice address
2101 Embassy Dr
Lancaster, PA 17603-2387
Phone
(717) 735-7410
Fax
(717) 735-7438
NPI assigned
Jun 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT185755 PA
Surgery Physician 208600000X MD432903 PA Primary

Addresses

Primary practice location

2101 Embassy Dr
Lancaster, PA 17603-2387

Mailing address

2101 Embassy Dr
Lancaster, PA 17603-2387
Phone (717) 735-7410

Other identifiers 8

IdentifierTypeStateIssuer
136870OtherPAGEISINGER HEALTH PLAN
3793803000OtherINDEPENDENCE BLUE CROSS
9746519OtherPAAETNA
1024615000001MedicaidPA
3793803000OtherPAINDEPENDENCE BLUE CROSS
30077903OtherPAAMERIHEALTH MERCY HEALTH PLAN
50093866OtherPACAPITAL BLUE CROSS
2154660OtherPAHIGHMARK BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dvaughn64377@phsdirect.pinnaclehealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000006 PA Practitioner - General Surgery 7214116300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2101 Embassy Dr
Surgical Specialists Upmc
Lancaster, PA 17603-2387
Phone (717) 735-7410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue12
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD432903PAMDSurgery Physician
MT185755PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Surgery Current Accepting new patients
Pinnacle Health Medical Services Surgery CurrentSince Sep 1, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2019 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2101 Embassy Dr
Lancaster, PA 17603
Phone (717) 735-7410

Interoperability endpoints

  • Direct secure messaging: dvaughn538739@upmc.direct-ci.com

Organizations & group practices 4

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1639339542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 EMBASSY DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032387",
            "telephone_number": "717-735-7410",
            "fax_number": "717-735-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 EMBASSY DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032387",
            "telephone_number": "717-735-7410",
            "fax_number": "717-735-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "DAVID",
        "middle_name": "ARTHUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT185755",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD432903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "136870",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "3793803000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9746519",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024615000001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "3793803000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY HEALTH PLAN",
            "identifier": "30077903",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50093866",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2154660",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dvaughn64377@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2101 Embassy Dr",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176032387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.