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DR. COLLIN VAUGHN M.D.
NPI 1104933068
Emergency Medicine in Sioux Falls, SD

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
323 S PHILLIPS AVE APT 1, SIOUX FALLS, SD 57104(605) 376-1133 Get Directions Write a Review

NPPES record last updated: December 3, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Collin Vaughn M.d. NPPES

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

DR. COLLIN VAUGHN M.D. (NPI 1104933068) is an individual emergency medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (7627) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1104933068
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. COLLIN VAUGHNCredential: M.D.
Location Address323 S PHILLIPS AVE APT 1Sioux Falls, SD 57104-6305
Mailing Address323 S Phillips Ave Apt 1Sioux Falls, SD 57104-6305
Phone(605) 376-1133
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 24, 2006
Last NPPES UpdateDecember 3, 2010
✔ NPI 1104933068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in SD · 7627
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
323 S PHILLIPS AVE APT 1, Sioux Falls, SD 57104
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Other Identifiers 1

Medicare PINS103621SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Wellmark Health Plan of Iowa, Inc., Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Collin Vaughn 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 ID4183760770
PECOS Enrollment IDI20091013000354
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 Reassignments

8

Medicare enrollment records show Collin Vaughn reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan
0.5 mi
Internal Medicine
300 N DAKOTA AVE., STE. 117
Sioux Falls, SD 57104
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1083894067 (605) 322-6800
Spencer Municipal Hospital
68 mi
Clinic/Center
231 N 8TH AVE W
Hartley, IA 51346
  • Reassigned Medicare billing, Iowa enrollment
  • 176 clinicians in this Medicare group
NPI 1225767338 (712) 928-1020
Prairie Lakes Health Care System Inc
95 mi
Family Medicine
506 1ST AVE SE
Watertown, SD 57201
  • Reassigned Medicare billing, South Dakota enrollment
  • 109 clinicians in this Medicare group
NPI 1396525143 (605) 886-8482
Rosebud Indian Health Service
209 mi
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
NPI 1194757369 (605) 747-3245
Eagle Butte Indian Health Service Hospital
245 mi
Public Health or Welfare
24276 166TH STREET, AIRPORT ROAD
Eagle Butte, SD 57625
  • Reassigned Medicare billing, Texas enrollment
  • 282 clinicians in this Medicare group
NPI 1558395848 (605) 964-7724
Pine Ridge Indian Health Service Hospital
253 mi
Clinic/Center
119 SOUTH 1ST AVENUE
Martin, SD 57551
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
NPI 1003208257 (605) 685-2800
Fort Yates Indian Health Service Hospital
267 mi
Critical Access
10 NORTH RIVER ROAD
Fort Yates, ND 58538
  • Reassigned Medicare billing, Texas enrollment
  • 71 clinicians in this Medicare group
NPI 1609851039 (701) 854-3831
Quentin N Burdick Comprehensive Health Care Facility
394 mi
Rural
1300 HOSPITAL LOOP
Belcourt, ND 58316
  • Reassigned Medicare billing, Texas enrollment
  • 193 clinicians in this Medicare group
NPI 1952346934 (701) 477-6111

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

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
140 services139 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
133 services132 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
93 services93 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
30 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Collin Vaughn's NPI number?

The NPI number for Collin Vaughn is 1104933068. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Collin Vaughn located?

Collin Vaughn practices at 323 S Phillips Ave Apt 1, Sioux Falls, SD 57104. The listed phone number is (605) 376-1133.

What is Collin Vaughn's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Collin Vaughn enrolled in Medicare?

Yes. Collin Vaughn 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.

Which organizations bill Medicare for Collin Vaughn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Collin Vaughn reassigns Medicare benefits to 8 organizations: Avera Mckennan (Sioux Falls, SD), Spencer Municipal Hospital (Hartley, IA), Prairie Lakes Health Care System Inc (Watertown, SD), Rosebud Indian Health Service (Rosebud, SD), Eagle Butte Indian Health Service Hospital (Eagle Butte, SD) and 3 more organizations, listed in the Medicare section above. Each 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 Collin Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Collin Vaughn accept?

Health plans from Avera Health Plans, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Collin 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 Collin Vaughn affiliated with any hospitals?

According to CMS data, Collin Vaughn is affiliated with Prairie Lakes Healthcare System, Inc, Avera Mckennan Hospital & University Health Center and Avera Heart Hospital Of South Dakota.

When was this NPI record last updated?

The NPPES record for Collin Vaughn was last updated on December 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.