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

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: November 01, 2026.

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Vaughn Matacale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vidant Medical Group LLC
31 mi
Multi-Specialty
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1477648731 (252) 847-2181

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

COASTAL PLAINS PATHOLOGY PA
Pathology (Anatomic Pathology & Clinical Pathology)
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8703
KONDAL RAO MADARAM MD
Psychiatry & Neurology (Psychiatry)
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-7057
SHANNON VASILINDA RDN, LDN
Dietitian, Registered
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8767
GAVIN SNYDER P.A.
Physician Assistant
1705 TARBORO ST SW, WILSON MEDICAL CENTER
WILSON, NC 27893
Wilson County (252) 399-8558
MRS. SHANNON BYRD JACKSON RD, LDN
Dietitian, Registered
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8768
MS. TRACY BOWMAN PA
Physician Assistant (Medical)
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8928
APOGEE MEDICAL GROUP, NORTH CAROLINA, P.C.
Hospitalist
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-7410
RANJANI SUNIL
Physician Assistant
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8040

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 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.

Where is Vaughn Matacale located?

Vaughn Matacale practices at 1705 Tarboro St SW, Wilson, NC 27893. The listed phone number is (252) 399-8040.

What is Vaughn Matacale's specialty?

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

Is Vaughn Matacale enrolled in Medicare?

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

Which organization bills Medicare for Vaughn Matacale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vaughn Matacale reassigns Medicare benefits to Vidant Medical Group LLC (Greenville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vaughn Matacale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vaughn Matacale accept?

Health plans from Cigna Healthcare list Vaughn Matacale 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.

When was this NPI record last updated?

The NPPES record for Vaughn Matacale was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.