DR. BARRY K VAUGHT M.D.
NPI 1194770339
Psychiatry & Neurology - Neurology in Crab Orchard, WV

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
59.8/100
CMS Quality Rating
1404 ROBERT C BYRD DR STE 100, CRAB ORCHARD, WV 25827(304) 252-4222 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Barry K Vaught M.d. NPPES

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

DR. BARRY K VAUGHT M.D. (NPI 1194770339) is an individual neurology provider in Crab Orchard, West Virginia, licensed in West Virginia (22116) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia University School Of Medicine (2001).

NPPES Registry Identity

NPI1194770339
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BARRY K VAUGHTCredential: M.D.
Location Address1404 ROBERT C BYRD DR STE 100Crab Orchard, WV 25827-9470
Mailing Address1619 Stanaford Rd Ste 218Beckley, WV 25801-8624 · (304) 252-4222 · Fax (866) 554-1903
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 2001
Enumeration DateMay 24, 2006
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1194770339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in WV · 22116
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1404 ROBERT C BYRD DR STE 100, Crab Orchard, WV 25827

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 and accepts Medicare assignment

Dr. Barry K Vaught M.d. 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 ID4880638568
PECOS Enrollment IDI20060601000001
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 29

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
24,705 services40 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.
1,427 services862 patients
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.
626 services511 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
456 services328 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
252 services28 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.
209 services209 patients

Hospital Affiliations CMS Care Compare 5

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Beckley Arh Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510062
Location306 Stanaford RoadBeckley, WV 25801 · Raleigh County
Emergency services

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number510070
Location1710 Harper RoadBeckley, WV 25801 · Raleigh County
Emergency services Birthing friendly

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25827 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
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.

59.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.15
Improvement Activities40

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…
83%1,459 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%5,898 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.
51%2,418 patients2/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
9%338 patients1/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
8%338 patients1/55-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.
1%1,340 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…
61%1,340 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
18%1,340 patients1/55-star benchmark: 79%
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.

Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$170.93 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1404 ROBERT C BYRD DR STE 100
CRAB ORCHARD, WV 25827

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 Barry Vaught's NPI number?

The NPI number for Barry Vaught is 1194770339. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Barry Vaught located?

Barry Vaught practices at 1404 Robert C Byrd Dr Ste 100, Crab Orchard, WV 25827. The listed phone number is (304) 252-4222.

What is Barry Vaught's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Barry Vaught enrolled in Medicare?

Yes. Barry Vaught 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 Barry Vaught accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Barry Vaught 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 Barry Vaught affiliated with any hospitals?

According to CMS data, Barry Vaught is affiliated with Charleston Area Medical Center, Princeton Community Hospital, Beckley Arh Hospital, Raleigh General Hospital and Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Barry Vaught was last updated on May 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.