AMY A VAUGHAN II MD
NPI 1073503223
Dermatology in Barboursville, WV

Active since October 27, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 51D1058667 · Microscopy
82.94/100
CMS Quality Rating
6007 US ROUTE 60 E, SUITE 130, BARBOURSVILLE, WV 25504(304) 733-3333(304) 733-3666 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy A Vaughan Ii Md NPPES

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

AMY A VAUGHAN II MD (NPI 1073503223) is an individual dermatology provider in Barboursville, West Virginia, licensed in West Virginia (18579) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through June 24, 2028, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1992).

NPPES Registry Identity

NPI1073503223
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameAMY A VAUGHAN IICredential: MD
Location Address6007 US ROUTE 60 E, SUITE 130Barboursville, WV 25504-1042
Mailing AddressPo Box 937, 6007 Us Route 60 E Suite 130Barboursville, WV 25504 · (304) 733-3333 · Fax (304) 733-3666
Fax(304) 733-3666
Sole ProprietorYes
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1992
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1073503223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WV · 18579
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
6007 US ROUTE 60 E, Barboursville, WV 25504

Other Names 1

Other Name (5)Mrs. Amy A Keaton

Other Identifiers 4

Medicare UPING31106
Medicare ID-Type Unspecified0806282WV
Medicare ID-Type Unspecified0806281WV
Medicaid0070108000WV

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 and accepts Medicare assignment

Amy A Vaughan Ii Md 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 ID446257125
PECOS Enrollment IDI20061024000088
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 51D1058667

Amy A Vaughan MD Dermatology PLLC · Barboursville, WV
Active · expires Jun 24, 2028
CLIA Number51D1058667
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorAmy A. Vaughan MD
Laboratory Phone(304) 733-3333
Laboratory LocationAmy A Vaughan MD Dermatology PLLC6007 Us Route 60 East Suite 130, Barboursville, WV 25504
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 31

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
430 services110 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
206 services169 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
195 services165 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.
154 services140 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
80 services78 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
61 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25504 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.92
Promoting Interoperability100
Improvement Activities40
Cost56.21

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%141 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%5,475 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
16%970 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
72%5,164 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
97%67 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
71%5,164 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
98%179 patients
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.

Other Providers at the Same Location NPPES 7

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

Pathology (Clinical Pathology/Laboratory Medicine)
6007 US ROUTE 60 E, SUITE 122
BARBOURSVILLE, WV 25504
Non-Pharmacy Dispensing Site
6007 US ROUTE 60 E
BARBOURSVILLE, WV 25504
Physical Medicine & Rehabilitation (Pain Medicine)
6007 US ROUTE 60 E, SUITE 304
BARBOURSVILLE, WV 25504
Physical Medicine & Rehabilitation (Pain Medicine)
6007 US ROUTE 60 E, SUITE 304
BARBOURSVILLE, WV 25504
Pharmacy (Community/Retail Pharmacy)
6007 US ROUTE 60 E, SUITE 230
BARBOURSVILLE, WV 25504
Physician Assistant
6007 US ROUTE 60 E, SUITE 203
BARBOURSVILLE, WV 25504
Family Medicine
6007 US ROUTE 60 E
BARBOURSVILLE, WV 25504

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 Amy Vaughan's NPI number?

The NPI number for Amy Vaughan is 1073503223. It was assigned to this individual provider in the NPPES registry on October 27, 2005. The provider is also known as Mrs. Amy A Keaton.

Where is Amy Vaughan located?

Amy Vaughan practices at 6007 Us Route 60 E Suite 130, Barboursville, WV 25504. The listed phone number is (304) 733-3333.

What is Amy Vaughan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Amy Vaughan enrolled in Medicare?

Yes. Amy 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.

Does Amy Vaughan hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 51D1058667) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Amy Vaughan accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Amy Vaughan 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 Amy Vaughan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.