DR. WALLACE CARROLL VAUGHAN JR. M.D.
NPI 1104906510
Otolaryngology in Montgomery, AL

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
6980 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117(334) 277-0484(334) 272-8877 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wallace Carroll Vaughan Jr. M.d. NPPES

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

DR. WALLACE CARROLL VAUGHAN JR. M.D. (NPI 1104906510) is an individual otolaryngology provider in Montgomery, Alabama, licensed in Alabama (13438) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1982).

NPPES Registry Identity

NPI1104906510
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. WALLACE CARROLL VAUGHAN JR.Credential: M.D.
Location Address6980 WINTON BLOUNT BLVDMontgomery, AL 36117-3556
Mailing Address6980 Winton Blount BlvdMontgomery, AL 36117-3556 · (334) 277-0484 · Fax (334) 272-8877
Fax(334) 272-8877
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1982
Enumeration DateOctober 17, 2006
Last NPPES UpdateNovember 13, 2015
NPI 1104906510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in AL · 13438
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
6980 WINTON BLOUNT BLVD, Montgomery, AL 36117

Other Identifiers 5

Medicare ID-Type Unspecified000017143
Other17143Blue Cross
Medicare UPINC71308
Medicaid528701330AL
Other040002702Rr Mcare

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

Dr. Wallace Carroll Vaughan Jr. M.d. 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 ID7810063260
PECOS Enrollment IDI20110112001004
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 10

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.

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.
319 services218 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
197 services158 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
157 services157 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
140 services130 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
88 services77 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
82 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 5

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

Otolaryngology
6980 WINTON BLOUNT BLVD
MONTGOMERY, AL 36117
Otolaryngology
6980 WINTON BLOUNT BLVD
MONTGOMERY, AL 36117
Audiologist
6980 WINTON BLOUNT BLVD
MONTGOMERY, AL 36117
Audiologist
6980 WINTON BLOUNT BLVD
MONTGOMERY, AL 36117
Audiologist
6980 WINTON BLOUNT BLVD
MONTGOMERY, AL 36117

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 Wallace Vaughan's NPI number?

The NPI number for Wallace Vaughan is 1104906510. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Wallace Vaughan located?

Wallace Vaughan practices at 6980 Winton Blount Blvd, Montgomery, AL 36117. The listed phone number is (334) 277-0484.

What is Wallace Vaughan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Wallace Vaughan enrolled in Medicare?

Yes. Wallace 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.

What insurance does Wallace Vaughan accept?

Health plans from Blue Cross and Blue Shield of Alabama list Wallace 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 Wallace Vaughan was last updated on November 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.