JOSHUA VAUGHN M.D.
NPI 1417240508
Orthopaedic Surgery in South Portland, ME

Q: What is Joshua Vaughn's NPI number?

The NPI number for Joshua Vaughn is 1417240508. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Q: What is Joshua Vaughn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joshua Vaughn was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 23, 2011PECOS EnrolledAccepts Medicare Assignment

119 GANNETT DR, SOUTH PORTLAND, ME 04106(207) 773-0040 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2020, Dec 2, 2020, Jul 6, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Joshua Vaughn M.d. NPPES

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

JOSHUA VAUGHN M.D. (NPI 1417240508) is an individual orthopaedic surgery provider in South Portland, Maine, licensed in Maine (MD22211) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2011).

NPPES Registry Identity

NPI1417240508

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameJOSHUA VAUGHNCredential: M.D.

Location Address119 GANNETT DRSouth Portland, ME 04106-6942

Mailing Address119 Gannett DrSouth Portland, ME 04106-6942 · (207) 773-0040

Phone(207) 773-0040

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2011

Enumeration DateMay 23, 2011

Last NPPES UpdateDecember 7, 20204 updates tracked since enumeration

NPPES CertifiedDecember 7, 2020

✔ NPI 1417240508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in ME · MD22211

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.

119 GANNETT DR, South Portland, ME 04106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and more.Insurance ›

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

Joshua Vaughn M.d. 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 ID4587883806

PECOS Enrollment IDI20180712002089

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.

Medicare Billing Reassignments

Medicare enrollment records show Joshua Vaughn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainehealth

1.0 mi

Neurology

49 SPRING ST, 2ND FLOOR
Scarborough, ME 04074

Reassigned Medicare billing, Maine enrollment
3,140 clinicians in this Medicare group

NPI 1497052518 (207) 883-1414

Maine Medical Partners

3.1 mi

Surgery

92 CAMPUS DRIVE, 3RD FLOOR
Scarborough, ME 04074

Reassigned Medicare billing, Maine enrollment
264 clinicians in this Medicare group

NPI 1346687167 (207) 774-6368

Down East Orthopedic Assoc PA

116 mi

Specialist

78 RIDGEWOOD DR
Bangor, ME 04401

Reassigned Medicare billing, Maine enrollment
19 clinicians in this Medicare group

NPI 1194763110 (207) 947-8381

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

Areas of Expertise CMS Part B claims 3

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 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.

56 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

48 services48 patients

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.

45 services35 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200021

Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

3 suppliers24 claims24 services$273.84 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NATALIE ALISON HUNT MS, LAT, ATC

Specialist/Technologist (Athletic Trainer)