DEIDRE VAUGHN PA-C
NPI 1437519931
Physician Assistant in Santa Rosa, CA

Active since February 26, 2016PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
525 DOYLE PARK DR STE 102, SANTA ROSA, CA 95405(707) 387-3922(707) 523-0679 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2025, Jun 14, 2016, Feb 26, 2016 (3 updates tracked since 2016).

About Deidre Vaughn Pa-c NPPES

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

DEIDRE VAUGHN PA-C (NPI 1437519931) is an individual physician assistant in Santa Rosa, California, licensed in California (PA65505) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Burlington, and is a graduate of Tufts University School Of Medicine (2016).

NPPES Registry Identity

NPI1437519931
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEIDRE VAUGHNCredential: PA-C
Location Address525 DOYLE PARK DR STE 102Santa Rosa, CA 95405-4562
Mailing Address41 Mall Rd, Neurosurgery DeptBurlington, MA 01805-0001 · (781) 744-7580 · Fax (781) 744-5778
Fax(707) 523-0679
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2016
Enumeration DateFebruary 26, 2016
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1437519931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · PA65505 Licensed in MA · PA5692
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
525 DOYLE PARK DR STE 102, Santa Rosa, CA 95405

Secondary Practice Location 1

Location 141 Mall Rd, Neurosurgery DeptBurlington, MA 01805-0001 · Phone (781) 744-7580 · Fax (781) 744-5778

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

Deidre 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 ID1052604410
PECOS Enrollment IDI20250801003684
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 2

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.
25 services21 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Neurological Surgery
525 DOYLE PARK DR STE 102
SANTA ROSA, CA 95405
Physician Assistant
525 DOYLE PARK DR STE 102
SANTA ROSA, CA 95405
Physician Assistant
525 DOYLE PARK DR STE 102
SANTA ROSA, CA 95405

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 Deidre Vaughn's NPI number?

The NPI number for Deidre Vaughn is 1437519931. It was assigned to this individual provider in the NPPES registry on February 26, 2016.

Where is Deidre Vaughn located?

Deidre Vaughn practices at 525 Doyle Park Dr Ste 102, Santa Rosa, CA 95405. The listed phone number is (707) 387-3922.

What is Deidre Vaughn's specialty?

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

Is Deidre Vaughn enrolled in Medicare?

Yes. Deidre 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.

When was this NPI record last updated?

The NPPES record for Deidre Vaughn was last updated on December 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.