MICHAEL VAUGHAN MD
NPI 1295841955
Family Medicine in San Francisco, CA

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
85.92/100
CMS Quality Rating
2340 CLAY ST, SAN FRANCISCO, CA 94115(415) 505-1532 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Vaughan Md NPPES

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

MICHAEL VAUGHAN MD (NPI 1295841955) is an individual family medicine provider in San Francisco, California, licensed in California (A69013) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (1997).

NPPES Registry Identity

NPI1295841955
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL VAUGHANCredential: MD
Location Address2340 CLAY STSan Francisco, CA 94115-1932
Mailing AddressPo Box 320427San Francisco, CA 94132-0427 · (415) 412-1749 · Fax (866) 305-1869
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1997
Enumeration DateAugust 22, 2006
Last NPPES UpdateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
NPI 1295841955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A69013
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License A69013 (CA)
2340 CLAY ST, San Francisco, CA 94115

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Michael 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 ID6709875164
PECOS Enrollment IDI20040510001698
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
611 services272 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.
241 services112 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
165 services163 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services68 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
66 services64 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
49 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94115 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

85.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.15
Improvement Activities0
Cost83.57

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.

Pediatrics
2340 CLAY ST, 3RD FLOOR
SAN FRANCISCO, CA 94115
Hospitalist
2340 CLAY ST, 2ND FLOOR
SAN FRANCISCO, CA 94115
General Acute Care Hospital
2340 CLAY ST, 5TH FLOOR
SAN FRANCISCO, CA 94115
Nurse Practitioner (Family)
2340 CLAY ST, SUITE 537
SAN FRANCISCO, CA 94115
Clinical Neuropsychologist
2340 CLAY ST, 7TH FLOOR
SAN FRANCISCO, CA 94115
Psychiatry & Neurology (Psychiatry)
2340 CLAY ST
SAN FRANCISCO, CA 94115
General Acute Care Hospital
2340 CLAY ST, 5TH FLOOR, OPHTHALMOLOGY DEPARTMENT
SAN FRANCISCO, CA 94115
Family Medicine
2340 CLAY ST, FLOORS 1-5 AND 7
SAN FRANCISCO, CA 94115

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 Michael Vaughan's NPI number?

The NPI number for Michael Vaughan is 1295841955. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Michael Vaughan located?

Michael Vaughan practices at 2340 Clay St, San Francisco, CA 94115. The listed phone number is (415) 505-1532.

What is Michael Vaughan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Vaughan enrolled in Medicare?

Yes. Michael 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 Michael Vaughan accept?

Health plans from BEST Life, HRI Dental & Vision, Paramount and UnitedHealthcare list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Vaughan was last updated on September 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.