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ANDREW H VAUGHAN MD
NPI 1164684643
Otolaryngology in St George, UT

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1490 E FOREMASTER DR, SUITE 350, ST GEORGE, UT 84790(435) 628-3334(435) 628-3375 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew H Vaughan Md NPPES

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

ANDREW H VAUGHAN MD (NPI 1164684643) is an individual otolaryngology provider in St George, Utah, licensed in Utah (7343869-1205) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Mesa View Regional Hospital, and is a graduate of Eastern Virginia Medical School (2004).

NPPES Registry Identity

NPI1164684643
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameANDREW H VAUGHANCredential: MD
Location Address1490 E FOREMASTER DR, SUITE 350St George, UT 84790-4488
Mailing Address1490 E Foremaster Dr, Suite 350St George, UT 84790-4488 · (435) 628-3334 · Fax (435) 628-3375
Phone(435) 628-3334
Fax(435) 628-3375
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2004
Enumeration DateJune 26, 2008
Last NPPES UpdateJune 18, 2009
✔ NPI 1164684643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in UT · 7343869-1205
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116016535 (VA)
1490 E FOREMASTER DR, St George, UT 84790
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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

Andrew H 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 ID1456402353
PECOS Enrollment IDI20090707000272
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 14

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.
549 services407 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.
498 services300 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.
492 services366 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.
137 services120 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.
137 services137 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.
137 services137 patients

Hospital Affiliations CMS Care Compare 4

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

Mesa View Regional Hospital

Critical Access Hospitals · Mesquite, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number291307
Location1299 Bertha Howe AvenueMesquite, NV 89027 · Clark County
Emergency services

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460007
Location1303 North Main StreetCedar City, UT 84721 · Iron County
Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Kane County Hospital

Critical Access Hospitals · Kanab, UT
OwnershipGovernment - Hospital District or Authority
CMS Certification Number461309
Location355 North Main StreetKanab, UT 84741 · Kane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
24%45 patients4/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
33%42 patients
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…
91%566 patients4/55-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.
99%1,686 patients4/55-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.
60%359 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
6%68 patients1/55-star benchmark: 98%
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.
99%558 patients4/55-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.
3%580 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…
88%949 patients4/55-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
82%254 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…
61%580 patients3/55-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.

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.

AUBREY HOOPES
Recreation Therapist
1490 E FOREMASTER DR
ST GEORGE, UT 84790
Washington County (435) 674-5194
ROBERT M COPE MD PC
Urology
1490 E FOREMASTER DR, 300
SAINT GEORGE, UT 84790
Washington County (435) 688-2104
BRITTANY GARCIA AU.D.
Audiologist
1490 E FOREMASTER DR, SUITE 360
ST GEORGE, UT 84790
Washington County (435) 688-8866
MELISSA J HINTON DNP
Nurse Practitioner (Family)
1490 E FOREMASTER DR, STE 220
ST GEORGE, UT 84790
Washington County (435) 216-7000
DR. METTE HANSEN MD
Physical Medicine & Rehabilitation
1490 E FOREMASTER DR
ST GEORGE, UT 84790
Washington County (435) 628-9393
RAY STAYNER RICHARDS M.D.
Radiology (Radiation Oncology)
1490 E FOREMASTER DR, BUILDING C
ST GEORGE, UT 84790
Washington County (435) 627-5327
DR. MICHAEL ANDERSON M.D.
Orthopaedic Surgery
1490 E FOREMASTER DR, #150
ST GEORGE, UT 84790
Washington County (435) 628-9393
DR. AARON MICHAEL O'BRIEN MD
Orthopaedic Surgery
1490 E FOREMASTER DR, STE 150
ST GEORGE, UT 84790
Washington County (435) 628-9393

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 Andrew Vaughan's NPI number?

The NPI number for Andrew Vaughan is 1164684643. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Andrew Vaughan located?

Andrew Vaughan practices at 1490 E Foremaster Dr Suite 350, St George, UT 84790. The listed phone number is (435) 628-3334.

What is Andrew Vaughan's specialty?

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

Is Andrew Vaughan enrolled in Medicare?

Yes. Andrew 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 Andrew Vaughan accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Andrew 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.

Is Andrew Vaughan affiliated with any hospitals?

According to CMS data, Andrew Vaughan is affiliated with Mesa View Regional Hospital, Cedar City Hospital, St. George Regional Hospital and Kane County Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Vaughan was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.