MR. BAILEY SHANNON VAUGHN PA-C
NPI 1306603055
Physician Assistant in Saint Louis, MO

Active since February 29, 2024PECOS EnrolledAccepts Medicare Assignment
9556 MANCHESTER RD, SAINT LOUIS, MO 63119(314) 373-5740 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Bailey Shannon Vaughn Pa-c NPPES

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

MR. BAILEY SHANNON VAUGHN PA-C (NPI 1306603055) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2024007399) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306603055
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BAILEY SHANNON VAUGHNCredential: PA-C
Location Address9556 MANCHESTER RDSaint Louis, MO 63119-1313
Mailing Address12541 Westport DrSaint Louis, MO 63146-3857 · (573) 614-2810
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 29, 2024
Last NPPES UpdateMay 8, 2026
NPPES CertifiedMay 8, 2026
NPI 1306603055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 2024007399
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.
9556 MANCHESTER RD, Saint Louis, MO 63119

Secondary Practice Location 1

Location 1621 S New Ballas Rd Ste 560ASaint Louis, MO 63141-8261 · Phone (314) 251-6440

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

Mr. Bailey Shannon 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 ID4486091543
PECOS Enrollment IDI20240325002561
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 21

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.

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.
89 services89 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.
68 services68 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
64 services12 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
63 services63 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
45 services45 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63119 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 20

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

Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
Family Medicine
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
Physician Assistant (Medical)
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
Emergency Medicine
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119

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 Bailey Vaughn's NPI number?

The NPI number for Bailey Vaughn is 1306603055. It was assigned to this individual provider in the NPPES registry on February 29, 2024.

Where is Bailey Vaughn located?

Bailey Vaughn practices at 9556 Manchester Rd, Saint Louis, MO 63119. The listed phone number is (314) 373-5740.

What is Bailey Vaughn's specialty?

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

Is Bailey Vaughn enrolled in Medicare?

Yes. Bailey 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.

What insurance does Bailey Vaughn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Bailey Vaughn 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 Bailey Vaughn was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.