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DR. JOEL FULLER VAUGHAN MD
NPI 1457305104
Internal Medicine in Charleston, SC

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
99.75/100
CMS Quality Rating
109 BEE ST, CHARLESTON, SC 29401(843) 577-5011 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joel Fuller Vaughan Md NPPES

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

DR. JOEL FULLER VAUGHAN MD (NPI 1457305104) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (23927) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of South Carolina School Of Medicine (2006).

NPPES Registry Identity

NPI1457305104
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOEL FULLER VAUGHANCredential: MD
Location Address109 BEE STCharleston, SC 29401-5703
Mailing Address2200 Sandpiper RdVirginia Beach, VA 23456-4620 · (843) 556-9785
Phone(843) 577-5011
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2006
Enumeration DateMay 19, 2006
Last NPPES UpdateJune 12, 2019
✔ NPI 1457305104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 23927
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 23927 (SC)
109 BEE ST, Charleston, SC 29401
Open in Google Maps ↗

Other Identifiers 1

Medicaid239272SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Dr. Joel Fuller Vaughan Md 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 ID3072516079
PECOS Enrollment IDI20230921003448
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 7

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.
101 services60 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.
60 services51 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
58 services46 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
24 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
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.

99.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.8
Promoting Interoperability99
Improvement Activities40

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)
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
SUSANNE H HENDRICKS R.D.
Dietitian, Registered
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
DR. PATRICK S COGAN PHARM.D.
Pharmacist
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
DR. JOHN MOSS PAINTER
Counselor (Pastoral)
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
MICHELLE E HOWELL LMSW
Social Worker
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
RENEA BROWN BLIGEN LISW-CP/S
Social Worker (Clinical)
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
RENEE GRACE REAGAN LMSW
Social Worker
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 789-6568
MRS. JULISE WASHINGTON HUGHES LMSW
Social Worker
109 BEE ST, RM E215
CHARLESTON, SC 29401
Charleston County (843) 792-7027

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 Joel Vaughan's NPI number?

The NPI number for Joel Vaughan is 1457305104. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Joel Vaughan located?

Joel Vaughan practices at 109 Bee St, Charleston, SC 29401. The listed phone number is (843) 577-5011.

What is Joel Vaughan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joel Vaughan enrolled in Medicare?

Yes. Joel Vaughan 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 Joel Vaughan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Joel Vaughan 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.

Is Joel Vaughan affiliated with any hospitals?

According to CMS data, Joel Vaughan is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Joel Vaughan was last updated on June 12, 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.