Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB EDWARD VAUGHN MD
NPI 1306475066
Orthopaedic Surgery in Glastonbury, CT

Active since April 05, 2020PECOS Enrolled
622 HEBRON AVE STE 205, GLASTONBURY, CT 06033(860) 527-7161 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Apr 5, 2020 (2 updates tracked since 2020).

About Jacob Edward Vaughn Md NPPES

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

JACOB EDWARD VAUGHN MD (NPI 1306475066) is an individual orthopaedic surgery provider in Glastonbury, Connecticut, licensed in Connecticut (85949) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306475066
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJACOB EDWARD VAUGHNCredential: MD
Location Address622 HEBRON AVE STE 205Glastonbury, CT 06033-5003
Mailing Address622 Hebron Ave Ste 205Glastonbury, CT 06033-5003 · (860) 527-7161
Sole ProprietorNo
Enumeration DateApril 5, 2020
Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
NPI 1306475066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CT · 85949
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 85949 (CT)
622 HEBRON AVE STE 205, Glastonbury, CT 06033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacob Edward Vaughn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06033 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 16

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

Occupational Therapist (Hand)
622 HEBRON AVE STE 205
GLASTONBURY, CT 06033
Orthopaedic Surgery (Hand Surgery)
622 HEBRON AVE STE 205
GLASTONBURY, CT 06033
Physician Assistant
622 HEBRON AVE STE 205
GLASTONBURY, CT 06033
Orthopaedic Surgery
622 HEBRON AVE STE 205
GLASTONBURY, CT 06033
Orthopaedic Surgery (Hand Surgery)
622 HEBRON AVE STE 205
GLASTONBURY, CT 06033
Orthopaedic Surgery (Hand Surgery)
622 HEBRON AVE STE 205
GLASTONBURY, CT 06033
Orthopaedic Surgery (Hand Surgery)
622 HEBRON AVE STE 205
GLASTONBURY, CT 06033
Occupational Therapist
622 HEBRON AVE STE 205
GLASTONBURY, CT 06033

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 Jacob Vaughn's NPI number?

The NPI number for Jacob Vaughn is 1306475066. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Jacob Vaughn located?

Jacob Vaughn practices at 622 Hebron Ave Ste 205, Glastonbury, CT 06033. The listed phone number is (860) 527-7161.

What is Jacob Vaughn's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jacob Vaughn enrolled in Medicare?

Yes. Jacob Vaughn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Vaughn was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.