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BENJAMIN VAUGHN
NPI 1306218227
Physical Therapist - Orthopedic in Portage, MI

Active since October 30, 2015Accepts Medicare Assignment
6016 LOVERS LN STE 3, PORTAGE, MI 49002(269) 329-0934(269) 329-0965 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Benjamin Vaughn NPPES

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

BENJAMIN VAUGHN (NPI 1306218227) is an individual orthopedic provider in Portage, Michigan, licensed in Michigan (5501017354) and active in the NPI registry since October 2015. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1306218227
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameBENJAMIN VAUGHN
Location Address6016 LOVERS LN STE 3Portage, MI 49002-3050
Mailing Address866 3 Mile Rd NwGrand Rapids, MI 49544-8217
Phone(269) 329-0934
Fax(269) 329-0965
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 30, 2015
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1306218227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in MI · 5501017354
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
6016 LOVERS LN STE 3, Portage, MI 49002
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Vaughn 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 ID8921399171
PECOS Enrollment IDI20160620001764

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Vaughn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Michigan Ear, Nose, Throat, And Allergy Specialists, PC
49 mi
Plastic Surgery within the Head & Neck
3100 N. WELLNESS DR
Holland, MI 49424
  • Reassigned Medicare billing, Michigan enrollment
  • 38 clinicians in this Medicare group
NPI 1780029991 (616) 994-2770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

WILL KNOLL
Physical Therapist
6016 LOVERS LN STE 3
PORTAGE, MI 49002
Kalamazoo County (269) 329-0934
CONNOR GILLIG DPT
Physical Therapist
6016 LOVERS LN STE 3
PORTAGE, MI 49002
Kalamazoo County (269) 329-0934
MR. RILEY ARTHUR TUTTLE DPT
Physical Therapist
6016 LOVERS LN STE 3
PORTAGE, MI 49002
Kalamazoo County (269) 248-1946
MATTHEW SMYK PT
Physical Therapist
6016 LOVERS LN STE 3
PORTAGE, MI 49002
Kalamazoo County (269) 329-0934
MALORIE LYNN VASSEUR DPT
Physical Therapist
6016 LOVERS LN STE 3
PORTAGE, MI 49002
Kalamazoo County (269) 329-0934
BIANCA KOUPPARIS-ROESER DPT,PT
Physical Therapist
6016 LOVERS LN STE 3
PORTAGE, MI 49002
Kalamazoo County (269) 752-0306
RYAN WERME PT
Physical Therapist
6016 LOVERS LN STE 3
PORTAGE, MI 49002
Kalamazoo County (269) 329-0934

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 Benjamin Vaughn's NPI number?

The NPI number for Benjamin Vaughn is 1306218227. It was assigned to this individual provider in the NPPES registry on October 30, 2015.

Where is Benjamin Vaughn located?

Benjamin Vaughn practices at 6016 Lovers Ln Ste 3, Portage, MI 49002. The listed phone number is (269) 329-0934.

What is Benjamin Vaughn's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Benjamin Vaughn enrolled in Medicare?

Yes. Benjamin Vaughn 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.

Which organization bills Medicare for Benjamin Vaughn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Vaughn reassigns Medicare benefits to Michigan Ear, Nose, Throat, And Allergy Specialists, PC (Holland, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Vaughn was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.