MR. KEVIN DANIEL VAUGHN PA-C
NPI 1194760215
Physician Assistant in Aberdeen, SD

Q: What is Kevin Vaughn's NPI number?

The NPI number for Kevin Vaughn is 1194760215. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Q: What is Kevin Vaughn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Vaughn was last updated on December 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment

82.28/100

CMS Quality Rating

3015 3RD AVE SE, ABERDEEN, SD 57401(605) 226-5500 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Kevin Daniel Vaughn Pa-c NPPES

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

MR. KEVIN DANIEL VAUGHN PA-C (NPI 1194760215) is an individual physician assistant in Aberdeen, South Dakota, licensed in South Dakota (0236) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Weskota Memorial Medical Center - Cah, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1194760215

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. KEVIN DANIEL VAUGHNCredential: PA-C

Location Address3015 3RD AVE SEAberdeen, SD 57401-5418

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 226-5500

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJune 20, 2006

Last NPPES UpdateDecember 19, 2022

NPPES CertifiedDecember 19, 2022

✔ NPI 1194760215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SD · 0236

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0236 (SD)

3015 3RD AVE SE, Aberdeen, SD 57401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Sanford Health Plan.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

Mr. Kevin Daniel Vaughn Pa-c 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 ID1951548437

PECOS Enrollment IDI20230120002376

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.

Hospital Affiliations CMS Care Compare

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

Avera Weskota Memorial Medical Center - Cah

Critical Access Hospitals · Wessington Springs, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431324

Location604 1st St NEWessington Springs, SD 57382 · Jerauld County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57401 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

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.

82.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.81

Promoting Interoperability

Improvement Activities

Cost

52.95

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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.

DR. KERI LYNN CREWSON M.D.

Hospitalist