DR. WILLIAM SHANE VAUGHN D.M.D.
NPI 1467835074
Dentist in Melbourne, FL

Q: What is William Vaughn's NPI number?

The NPI number for William Vaughn is 1467835074. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Q: What is William Vaughn's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is William Vaughn enrolled in Medicare?

No. William Vaughn has opted out of Medicare through September 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for William Vaughn was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 30, 2015Opted out of Medicare · through Sep 13, 2026

2113 SARNO RD, MELBOURNE, FL 32935(321) 259-9429 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. William Shane Vaughn D.m.d. NPPES

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

DR. WILLIAM SHANE VAUGHN D.M.D. (NPI 1467835074) is an individual dentist in Melbourne, Florida, licensed in Florida (22193) and active in the NPI registry since June 2015. He has opted out of Medicare through September 13, 2026.

NPPES Registry Identity

NPI1467835074

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. WILLIAM SHANE VAUGHNCredential: D.M.D.

Location Address2113 SARNO RDMelbourne, FL 32935

Mailing Address2113 Sarno RdMelbourne, FL 32935 · (321) 259-9429

Phone(321) 259-9429

Sole ProprietorYes

Enumeration DateJune 30, 2015

Last NPPES UpdateSeptember 2, 2016

✔ NPI 1467835074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in FL · 22193✔ Licensed in KY · 9626

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2113 SARNO RD, Melbourne, FL 32935

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. William Shane Vaughn D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 13, 2016 through September 13, 2026.

Opt-Out Effective DateSeptember 13, 2016

Opt-Out In Effect ThroughSeptember 13, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32935 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 7

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

CLARK F. BROWN, JR. DDS, PA

Clinic/Center (Dental)