DR. KYLE VAUGHN D.P.M.
NPI 1467618850
Podiatrist - Foot & Ankle Surgery in Phoenix, AZ

Active since August 05, 2008PECOS EnrolledAccepts Medicare Assignment
4611 E SHEA BLVD, SUITE 160, PHOENIX, AZ 85028(480) 705-9920(888) 872-0466 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Nov 23, 2020, Jun 22, 2016 (3 updates tracked since 2016).

About Dr. Kyle Vaughn D.p.m. NPPES

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

DR. KYLE VAUGHN D.P.M. (NPI 1467618850) is an individual foot & ankle surgery provider in Phoenix, Arizona, licensed in Arizona (0726) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Anthem, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1467618850
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. KYLE VAUGHNCredential: D.P.M.
Location Address4611 E SHEA BLVD, SUITE 160Phoenix, AZ 85028-4254
Mailing Address4611 E Shea Blvd, Suite 160Phoenix, AZ 85028-4254 · (480) 705-9920 · Fax (888) 872-0466
Fax(888) 872-0466
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 5, 2008
Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1467618850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in AZ · 0726
4611 E SHEA BLVD, Phoenix, AZ 85028

Secondary Practice Location 1

Location 13624 W Anthem Way Ste C116Anthem, AZ 85086-0457 · Phone (480) 705-9920 · Fax (888) 872-0466

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

Dr. Kyle Vaughn D.p.m. 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 ID648458877
PECOS Enrollment IDI20110616000841
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 12

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
329 services160 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.
201 services132 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
107 services50 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.
99 services99 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.
95 services74 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
83 services16 patients

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
1 supplier14 claims14 services$251.66 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 9

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

Clinic/Center (Ambulatory Surgical)
4611 E SHEA BLVD, SUITE 100
PHOENIX, AZ 85028
Orthopaedic Surgery (Sports Medicine)
4611 E SHEA BLVD, SUITE 200
PHOENIX, AZ 85028
Surgery (Plastic and Reconstructive Surgery)
4611 E SHEA BLVD, SUITE 230
PHOENIX, AZ 85028
Dentist (General Practice)
4611 E SHEA BLVD, SUITE 110
PHOENIX, AZ 85028
Orthopaedic Surgery (Sports Medicine)
4611 E SHEA BLVD, SUITE 200
PHOENIX, AZ 85028
Podiatrist (Foot & Ankle Surgery)
4611 E SHEA BLVD, SUITE 160
PHOENIX, AZ 85028
Surgery (Plastic and Reconstructive Surgery)
4611 E SHEA BLVD, SUITE 230
PHOENIX, AZ 85028
Radiology (Radiation Oncology)
4611 E SHEA BLVD, STE 120
PHOENIX, AZ 85028

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 Kyle Vaughn's NPI number?

The NPI number for Kyle Vaughn is 1467618850. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Kyle Vaughn located?

Kyle Vaughn practices at 4611 E Shea Blvd Suite 160, Phoenix, AZ 85028. The listed phone number is (480) 705-9920.

What is Kyle Vaughn's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kyle Vaughn enrolled in Medicare?

Yes. Kyle 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 Kyle Vaughn accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Kyle 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 Kyle Vaughn was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.