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THOMAS E VAUGHAN MD
NPI 1154419307
Radiology - Diagnostic Radiology in Dover, DE

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
88.38/100
CMS Quality Rating
640 S STATE ST, DOVER, DE 19901(302) 744-7062(302) 744-6215 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas E Vaughan Md NPPES

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

THOMAS E VAUGHAN MD (NPI 1154419307) is an individual diagnostic radiology provider in Dover, Delaware, licensed in Delaware (C1-0003952) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (1985).

NPPES Registry Identity

NPI1154419307
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTHOMAS E VAUGHANCredential: MD
Location Address640 S STATE STDover, DE 19901-3530
Mailing Address640 S. State Street, Mail Code 3055Dover, DE 19901-3530 · (302) 480-1688 · Fax (302) 480-9807
Phone(302) 744-7062
Fax(302) 744-6215
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1985
Enumeration DateOctober 11, 2006
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 5, 2023
✔ NPI 1154419307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in DE · C1-0003952
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
640 S STATE ST, Dover, DE 19901
Open in Google Maps ↗

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

Thomas E Vaughan 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 ID1456455005
PECOS Enrollment IDI20110707000451
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 9

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
167 services167 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
167 services167 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
62 services60 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
29 services28 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
28 services28 patients
Biopsy of breast and placement of locating device using ultrasound, first growth 19083
A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

88.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.33
Improvement Activities40

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.

JOHN MCARTOR
Pharmacist
640 S STATE ST
DOVER, DE 19901
Kent County (302) 744-7018
FRANCIS LIM MD
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Kent County (419) 276-1194
SUMUKH ARUN KUMAR MD
Internal Medicine (Hematology & Oncology)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
ABIGAIL KOZHUHAROV
Nurse Practitioner (Acute Care)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
SAFWAN MUHAMMAD MD
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Kent County (879) 022-5410
MS. REBECCA SUZANNE ANTAL PA-C
Physician Assistant
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
DONNA MARIE SHORT R.PH.
Pharmacist
640 S STATE ST, PHARMACY
DOVER, DE 19901
Kent County (302) 744-7018
MARY KATHERINE TROYER RN
Registered Nurse (Critical Care Medicine)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700

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 Thomas Vaughan's NPI number?

The NPI number for Thomas Vaughan is 1154419307. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Thomas Vaughan located?

Thomas Vaughan practices at 640 S State St, Dover, DE 19901. The listed phone number is (302) 744-7062.

What is Thomas Vaughan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Thomas Vaughan enrolled in Medicare?

Yes. Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Vaughan was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.