TROY MICHAEL VAUGHN M.D.
NPI 1164420915
Neurological Surgery in Alexandria, LA

Active since July 13, 2005PECOS Enrolled
75/100
CMS Quality Rating
3704 NORTH BLVD, SUITE C, ALEXANDRIA, LA 71301(318) 443-4576(318) 449-5579 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Troy Michael Vaughn M.d. NPPES

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

TROY MICHAEL VAUGHN M.D. (NPI 1164420915) is an individual neurological surgery provider in Alexandria, Louisiana, licensed in Louisiana (MD.021645) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Natchitoches Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1992).

NPPES Registry Identity

NPI1164420915
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameTROY MICHAEL VAUGHNCredential: M.D.
Location Address3704 NORTH BLVD, SUITE CAlexandria, LA 71301-3606
Mailing Address3704 North Blvd, Suite CAlexandria, LA 71301-3606 · (318) 443-4576 · Fax (318) 449-5579
Fax(318) 449-5579
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1992
Enumeration DateJuly 13, 2005
Last NPPES UpdateJanuary 8, 2025
NPPES CertifiedJanuary 3, 2025
NPI 1164420915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in LA · MD.021645
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
3704 NORTH BLVD, Alexandria, LA 71301

Other Identifiers 1

Medicaid1172138LA

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 (PECOS)

Troy Michael Vaughn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749290203
PECOS Enrollment IDI20100910000186
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 19

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 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.
602 services365 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
193 services85 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
131 services100 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
123 services123 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
83 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
76 services76 patients

Hospital Affiliations CMS Care Compare 5

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

Natchitoches Regional Medical Center

Acute Care Hospitals · Natchitoches, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190007
Location501 Keyser AveNatchitoches, LA 71457 · Natchitoches County
Emergency services Birthing friendly

Christus St Frances Cabrini Hospital

Acute Care Hospitals · Alexandria, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190019
Location3330 Masonic DriveAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Rapides Regional Medical Center

Acute Care Hospitals · Alexandria, LA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number190026
Location211 4th StreetAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Avoyelles Hospital

Acute Care Hospitals · Marksville, LA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number190099
Location4231 Highway 1192Marksville, LA 71351 · Avoyelles County
Emergency services

Christus Central Louisiana Surgical Hospital

Acute Care Hospitals · Alexandria, LA
OwnershipProprietary
CMS Certification Number190298
Location651 North Bolton AveAlexandria, LA 71301 · Rapides County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71301 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%677 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,600 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.
10%560 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
57%1,296 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
20%102 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
5%592 patients1/55-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…
97%452 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cervical, multiple post collar, occipital/mandibular supports, adjustable L0180
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$321.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist
3704 NORTH BLVD, STE 1
ALEXANDRIA, LA 71301
Radiology (Vascular & Interventional Radiology)
3704 NORTH BLVD
ALEXANDRIA, LA 71301
Radiology (Diagnostic Radiology)
3704 NORTH BLVD, SUITE 1
ALEXANDRIA, LA 71301
Specialist
3704 NORTH BLVD, SUITE 1
ALEXANDRIA, LA 71301
Radiology (Vascular & Interventional Radiology)
3704 NORTH BLVD, SUITE 1
ALEXANDRIA, LA 71301
Clinic/Center (Radiology)
3704 NORTH BLVD, SUITE 1
ALEXANDRIA, LA 71301
Specialist
3704 NORTH BLVD, SUITE 1
ALEXANDRIA, LA 71301
Radiology (Vascular & Interventional Radiology)
3704 NORTH BLVD, STE 1
ALEXANDRIA, LA 71301

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 Troy Vaughn's NPI number?

The NPI number for Troy Vaughn is 1164420915. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Troy Vaughn located?

Troy Vaughn practices at 3704 North Blvd Suite C, Alexandria, LA 71301. The listed phone number is (318) 443-4576.

What is Troy Vaughn's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Troy Vaughn enrolled in Medicare?

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

What insurance does Troy Vaughn accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Troy 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 Troy Vaughn affiliated with any hospitals?

According to CMS data, Troy Vaughn is affiliated with Natchitoches Regional Medical Center, Christus St Frances Cabrini Hospital, Rapides Regional Medical Center, Avoyelles Hospital and Christus Central Louisiana Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Troy Vaughn was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.