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

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: July 19, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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.

Clinic/Center (Radiology)
2113 SARNO RD
MELBOURNE, FL 32935
Clinic/Center (Dental)
2113 SARNO RD
MELBOURNE, FL 32935
Clinic/Center
2113 SARNO RD
MELBOURNE, FL 32935
Nurse Practitioner (Family)
2113 SARNO RD
MELBOURNE, FL 32935
Nurse Practitioner
2113 SARNO RD
MELBOURNE, FL 32935
Nurse Practitioner (Family)
2113 SARNO RD
MELBOURNE, FL 32935
Nurse Practitioner
2113 SARNO RD
MELBOURNE, FL 32935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467835074, enumerated as an "individual" on June 30, 2015.

The provider is located at 2113 SARNO RD MELBOURNE, FL 32935 and the phone number is (321) 259-9429.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.