Individual provider Active NPI

Loy Vaughan

  • Orthopaedic Surgery Physician
  • Pelham, AL
National Provider Identifier
1639532146
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD.42663 Issued in AL
Practice address
120 Cahaba Valley Pkwy Ste 100
Pelham, AL 35124-1187
Phone
(205) 909-2515
NPI assigned
Apr 1, 2016
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD.42663 AL Primary

Addresses

Primary practice location

120 Cahaba Valley Pkwy Ste 100
Pelham, AL 35124-1187

Mailing address

120 Cahaba Valley Pkwy Ste 100
Pelham, AL 35124-1187
Phone (205) 909-2515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20210629001642 AL Practitioner - Orthopedic Surgery 5092000281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Bone and Joint Clinic,LLCGroup PAC ID 3678757739, 10 clinicians

Practice addresses (Care Compare)

120 Cahaba Valley Pkwy
Suite 100
Pelham, AL 35124-1187
Phone (205) 621-3778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.2 of 100Reported as individual
Quality
62.76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Neurodiagnostic Lab LLC CurrentSince Jun 27, 2021 Accepting new patients
Alabama Bone & Joint Clinic,LLC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients

Locations

1022 1st St N
Ste 220
Alabaster, AL 35007
Phone (205) 621-3777

985 9th Ave SW
Ste 306
Bessemer, AL 35022
Phone (205) 424-1160

208 Pierson Ave
Centreville, AL 35042
Phone (205) 926-3230

674 Ollie Ave
Clanton, AL 35045
Phone (205) 280-1100

120 Cahaba Valley Pkwy
Ste 100
Pelham, AL 35124
Phone (205) 621-3778

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1639532146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CAHABA VALLEY PKWY STE 100",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241187",
            "telephone_number": "205-909-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAHABA VALLEY PKWY STE 100",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241187",
            "telephone_number": "205-909-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "LOY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.42663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.