DR. RANDY T VAUGHAN D.D.S.
NPI 1407057037
Dentist - General Practice in Charleston, SC

Q: What is Randy Vaughan's NPI number?

The NPI number for Randy Vaughan is 1407057037. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Randy Vaughan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Randy Vaughan was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since May 30, 2007PECOS Enrolled

109 BEE ST, CHARLESTON, SC 29401(843) 577-5011 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Randy T Vaughan D.d.s. NPPES

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

DR. RANDY T VAUGHAN D.D.S. (NPI 1407057037) is an individual general practice provider in Charleston, South Carolina, licensed in Illinois (019-019582) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407057037

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RANDY T VAUGHANCredential: D.D.S.

Location Address109 BEE STCharleston, SC 29401-5703

Mailing Address109 Bee StCharleston, SC 29401-5703 · (843) 577-5011

Phone(843) 577-5011

Sole ProprietorNo

Enumeration DateMay 30, 2007

Last NPPES UpdateAugust 7, 2019

✔ NPI 1407057037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019-019582

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

109 BEE ST, Charleston, SC 29401

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Other Identifiers 1

Other36-3902095IL · Tax I.d. Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randy T Vaughan D.d.s. 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 29401 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

MRS. PAMELA STAKER MSN, FNP-BC

Nurse Practitioner (Family)