MARTIN VAUGHN CRNA NPI 1003025826

Registered Nurse in Poplar Bluff, MO

NPI 1003025826 Individual Male Years of Experience 21 Registered Nurse Accepts Medicare Approved Payment

About MARTIN VAUGHN

Martin Vaughn is a provider established in Poplar Bluff, Missouri and his medical specialization is registered nurse with more than 21 years of experience. The NPI number of Martin Vaughn is 1003025826 and was assigned on May 2007. The practitioner's primary taxonomy code is 163W00000X with license number 2005030753 (MO). The provider is registered as an individual and his NPI record was last updated 14 years ago. Martin Vaughn is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1003025826

Provider Name MARTIN VAUGHN CRNA
Provider Location Address2620 N WESTWOOD BLVD POPLAR BLUFF, MO 63901
Provider Mailing Address280 CR 782 JONESBORO, AR 72401
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2001
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-21-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code163W00000X
ClassificationRegistered Nurse
TypeNursing Service Providers
License No.2005030753
License StateMO
Taxonomy Description(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Business Address

MARTIN VAUGHN CRNA
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 785-7721

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Mailing Address

MARTIN VAUGHN CRNA
280 CR 782
JONESBORO, AR
ZIP 72401
Phone: (870) 972-9454



Medicare Participation

PECOS PAC ID5395795942
PECOS Enrollment IDI20050316000946
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 52Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 28Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
  • 12Anesthesia for procedure in upper abdomen including use of an endoscope (HCPCS:00790)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Martin Vaughn is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BAPTIST MEMORIAL HOSPITAL JONESBORO, INC.4800 EAST JOHNSON AVENUE
JONESBORO, AR 72405
(870) 972-7000Acute Care Hospitals40118

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851371702 DEAN RIGBY MD
Individual
Radiology (Diagnostic Radiology)2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 785-7721
1316992340 IMRAN Q CHEEMA M.D.
Individual
Internal Medicine2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 686-3937
1174570055TH CONTRACTING SERVICES OF MISSOURI
Organization
Emergency Medicine2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 785-7721
1881631620 RAYMOND BENJAMIN KETTING M.D.
Individual
Emergency Medicine2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 785-7721
1881632651 HEATH DAVID WILLIS A.T.C.
Individual
Specialist/Technologist (Athletic Trainer)2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 686-5985
1780625384 CHARLES S. KRIN D.O.
Individual
Emergency Medicine2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 785-7721
1205932712LOW BLUFFS EMERGENCY PHYSICIANS
Organization
Emergency Medicine2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(800) 327-0275
1407952815MISSOURI EM-1 MEDICAL SERVICES, P.C.
Organization
Emergency Medicine2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(800) 327-0275
1659440204 JOEL W. MURPHREE CRNA
Individual
Nurse Anesthetist, Certified Registered2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 727-2140
1700941242 SUBHASH GUJARATI M.D.
Individual
Internal Medicine2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 686-5300
1104963354POPLAR BLUFF CANCER & RADIATION SPECIALIST LLC
Organization
Radiology (Therapeutic Radiology)2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 686-5300
1568503357POPLAR BLUFF REGIONAL MEDICAL CENTER, INC
Organization
Radiology (Diagnostic Radiology)2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 785-7500
1396963492DR. DAVID LEE LOURWOOD JR. PHARMD
Individual
Pharmacist (Pharmacotherapy)2620 N WESTWOOD BLVD POPLAR BLUFF REGIONAL MEDICAL CENTER
POPLAR BLUFF, MO 63901
(573) 686-5989
1164640926 SHANE D FALTYS CRNA
Individual
Nurse Anesthetist, Certified Registered2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 718-2710
1750593927MR. CHARLES GOSHEN CRNA
Individual
Nurse Anesthetist, Certified Registered2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 727-2700
1356555148MR. RICHARD LEROY CRAYTON
Individual
Nurse Anesthetist, Certified Registered2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 785-7721
1255541165 ROGER DEAN FALTYS CRNA
Individual
Nurse Anesthetist, Certified Registered2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 727-2295
1174796601 TIMOTHY PAUL KORDICK CRNA
Individual
Nurse Anesthetist, Certified Registered2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 686-4111
1285883496NOVA RADIOLOGY CONSULTANTS, LLC
Organization
Radiology (Diagnostic Radiology)2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(918) 664-9892
1730330168POPLAR BLUFF REGIONAL MEDICAL CENTER LLC
Organization
Nurse Anesthetist, Certified Registered2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
(573) 785-7500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.