DR. RAEGAN VAUGHAN DDS
NPI 1184072191
Dentist - General Practice in Grove, OK

Q: What is Raegan Vaughan's NPI number?

The NPI number for Raegan Vaughan is 1184072191. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Q: What is Raegan Vaughan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Raegan Vaughan enrolled in Medicare?

No. Raegan Vaughan has opted out of Medicare through December 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Raegan Vaughan was last updated on June 29, 2024. 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.

Active since May 31, 2016Opted out of Medicare · through Dec 8, 2026

2209 S MAIN ST, GROVE, OK 74344(918) 786-5533 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Raegan Vaughan Dds NPPES

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

DR. RAEGAN VAUGHAN DDS (NPI 1184072191) is an individual general practice provider in Grove, Oklahoma, licensed in Oklahoma (6824) and active in the NPI registry since May 2016. He has opted out of Medicare through December 8, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184072191

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RAEGAN VAUGHANCredential: DDS

Location Address2209 S MAIN STGrove, OK 74344-5329

Mailing Address57 Heffelman DrGrove, OK 74344-4549 · (918) 786-5533

Phone(918) 786-5533

Sole ProprietorNo

Enumeration DateMay 31, 2016

Last NPPES UpdateJune 29, 2024

NPPES CertifiedJune 29, 2024

✔ NPI 1184072191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OK · 6824

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2209 S MAIN ST, Grove, OK 74344

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Raegan Vaughan Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2016 through December 8, 2026.

Opt-Out Effective DateDecember 8, 2016

Opt-Out In Effect ThroughDecember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74344 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

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 Raegan Vaughan's NPI number?

The NPI number for Raegan Vaughan is 1184072191. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Raegan Vaughan located?

Raegan Vaughan practices at 2209 S Main St, Grove, OK 74344. The listed phone number is (918) 786-5533.

What is Raegan Vaughan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Raegan Vaughan enrolled in Medicare?

No. Raegan Vaughan has opted out of Medicare through December 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Raegan Vaughan was last updated on June 29, 2024. 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.