DR. JAMES VAUGHAN M.D.
NPI 1003019860
Pathology - Anatomic Pathology & Clinical Pathology in Milwaukee, WI

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226(414) 456-8296 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Vaughan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES VAUGHAN M.D. (NPI 1003019860) is an individual anatomic pathology & clinical pathology provider in Milwaukee, Wisconsin, licensed in Tennessee (48735) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2007).

NPPES Registry Identity

NPI1003019860
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JAMES VAUGHANCredential: M.D.
Location Address8701 W WATERTOWN PLANK RDMilwaukee, WI 53226-3548
Mailing Address315a N 71st StWauwatosa, WI 53213-3745 · (214) 533-4830
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2007
Enumeration DateJune 8, 2007
Last NPPES UpdateSeptember 17, 2019
NPI 1003019860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in TN · 48735
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
8701 W WATERTOWN PLANK RD, Milwaukee, WI 53226

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. James Vaughan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608023585
PECOS Enrollment IDI20120828000768
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
533 services259 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
228 services79 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
152 services127 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
129 services110 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
100 services69 patients
Bone marrow, smear interpretation 85097
Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.
85 services72 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Emergency Medicine
8701 W WATERTOWN PLANK RD, MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Radiology (Vascular & Interventional Radiology)
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Internal Medicine
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
WAUWATOSA, WI 53226
Internal Medicine (Critical Care Medicine)
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Vaughan's NPI number?

The NPI number for James Vaughan is 1003019860. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is James Vaughan located?

James Vaughan practices at 8701 W Watertown Plank Rd, Milwaukee, WI 53226. The listed phone number is (414) 456-8296.

What is James Vaughan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is James Vaughan enrolled in Medicare?

Yes. James Vaughan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is James Vaughan affiliated with any hospitals?

According to CMS data, James Vaughan is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for James Vaughan was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.