Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

VAUGHN MITCHELL MATACALE M.D.
NPI 1063471084
Specialist in Wilson, NC

Q: What is Vaughn Matacale's NPI number?

The NPI number for Vaughn Matacale is 1063471084. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Q: What is Vaughn Matacale's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Vaughn Matacale was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2006PECOS Enrolled

1705 TARBORO ST SW, WILSON, NC 27893(252) 399-8040(252) 399-8829 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Vaughn Mitchell Matacale M.d. NPPES

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

VAUGHN MITCHELL MATACALE M.D. (NPI 1063471084) is an individual specialist in Wilson, North Carolina and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063471084

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameVAUGHN MITCHELL MATACALECredential: M.D.

Location Address1705 TARBORO ST SWWilson, NC 27893-3428

Mailing Address1705 Tarboro St SwWilson, NC 27893-3428 · (252) 399-8040 · Fax (252) 399-8829

Phone(252) 399-8040

Fax(252) 399-8829

Sole ProprietorNo

Enumeration DateMarch 20, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1063471084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1705 TARBORO ST SW, Wilson, NC 27893

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Other Identifiers 1

Medicaid89135JXNC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vaughn Mitchell Matacale M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.