BRADLEY K VAUGHN MD
NPI 1003819780
Orthopaedic Surgery in Raleigh, NC

Active since May 24, 2005PECOS Enrolled
81.18/100
CMS Quality Rating
3001 EDWARDS MILL RD, RALEIGH, NC 27612(919) 781-5600(919) 782-6578 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2021, Mar 30, 2021, Jan 4, 2021 and 3 more (6 updates tracked since 2016).

About Bradley K Vaughn Md NPPES

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

BRADLEY K VAUGHN MD (NPI 1003819780) is an individual orthopaedic surgery provider in Raleigh, North Carolina, licensed in North Carolina (34925) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in Garner.

NPPES Registry Identity

NPI1003819780
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBRADLEY K VAUGHNCredential: MD
Location Address3001 EDWARDS MILL RDRaleigh, NC 27612-5243
Mailing Address3001 Edwards Mill Rd Ste 200Raleigh, NC 27612-5243 · (919) 781-5600 · Fax (919) 863-6821
Fax(919) 782-6578
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1979
Enumeration DateMay 24, 2005
Last NPPES UpdateMay 6, 20216 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
NPI 1003819780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 34925
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 34925 (NC)
3001 EDWARDS MILL RD, Raleigh, NC 27612

Secondary Practice Location 1

Location 11325 Timber Dr EGarner, NC 27529-6924 · Phone (919) 781-5600 · Fax (919) 863-6821

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bradley K Vaughn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840193454
PECOS Enrollment IDI20100730000503
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 11

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.

X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
492 services348 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
383 services341 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
260 services212 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
197 services197 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
186 services87 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
146 services140 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.6
Promoting Interoperability98
Improvement Activities40
Cost50.34

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%28 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
99%1,484 patients4/55-star benchmark: 100%
e-Prescribing
99%379 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
94%972 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 1,448 patients
Patients screened: 86% · 1,448 patients
96%46 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%1,458 patients4/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%112 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,038 patients
Patients totalRate: 0% · 1,038 patients
0%1,038 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$38.98 avg. paid by Medicare
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1843
DME-Orthotic Devices · category DF011N
1 supplier20 claims21 services$753.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Physical Therapy Assistant
3001 EDWARDS MILL RD, 300
RALEIGH, NC 27612
Physical Therapy Assistant
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Physical Therapist
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612

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 Bradley Vaughn's NPI number?

The NPI number for Bradley Vaughn is 1003819780. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Bradley Vaughn located?

Bradley Vaughn practices at 3001 Edwards Mill Rd, Raleigh, NC 27612. The listed phone number is (919) 781-5600.

What is Bradley Vaughn's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Bradley Vaughn enrolled in Medicare?

Yes. Bradley Vaughn is registered in the Medicare PECOS enrollment system.

What insurance does Bradley Vaughn accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Bradley Vaughn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bradley Vaughn affiliated with any hospitals?

According to CMS data, Bradley Vaughn is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Bradley Vaughn was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.