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TOM MCKIBBIN-VAUGHAN PA
NPI 1497787584
Physician Assistant - Medical in Hudson, NY

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
2400 US ROUTE 9, HUDSON, NY 12534(518) 537-4900(518) 537-5977 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tom Mckibbin-vaughan Pa NPPES

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

TOM MCKIBBIN-VAUGHAN PA (NPI 1497787584) is an individual medical provider in Hudson, New York, licensed in New York (009679) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1497787584
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTOM MCKIBBIN-VAUGHANCredential: PA
Location Address2400 US ROUTE 9Hudson, NY 12534-4725
Mailing Address600 Westage Business Ctr DrFishkill, NY 12524-2281 · (845) 231-5600 · Fax (845) 231-5489
Phone(518) 537-4900
Fax(518) 537-5977
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 7, 2006
Last NPPES UpdateMay 6, 2010
✔ NPI 1497787584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 009679
2400 US ROUTE 9, Hudson, NY 12534
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINQ21054NY
Medicare PINA400024258NY

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

Tom Mckibbin-vaughan Pa 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 ID1658345707
PECOS Enrollment IDI20040824000688
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 9

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.
137 services119 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.
91 services91 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.
51 services47 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.
48 services48 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
37 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330094
Location71 Prospect AvenueHudson, NY 12534 · Columbia County
Emergency services

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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
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.

MAURA SULLIVAN MD
Family Medicine
2400 US ROUTE 9
HUDSON, NY 12534
Columbia County (518) 537-4900
HUDSON VALLEY FAMILY PRACTICE ASSOCIATES, P.C.
Family Medicine
2400 US ROUTE 9
HUDSON, NY 12534
Columbia County (518) 537-4900
JAMES ELBERT BLAKNEY PA
Physician Assistant (Medical)
2400 US ROUTE 9
HUDSON, NY 12534
Columbia County (845) 231-5600

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 Tom Mckibbin-vaughan's NPI number?

The NPI number for Tom Mckibbin-vaughan is 1497787584. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Tom Mckibbin-vaughan located?

Tom Mckibbin-vaughan practices at 2400 Us Route 9, Hudson, NY 12534. The listed phone number is (518) 537-4900.

What is Tom Mckibbin-vaughan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tom Mckibbin-vaughan enrolled in Medicare?

Yes. Tom Mckibbin-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.

Is Tom Mckibbin-vaughan affiliated with any hospitals?

According to CMS data, Tom Mckibbin-vaughan is affiliated with Albany Medical Center Hospital and Columbia Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tom Mckibbin-vaughan was last updated on May 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.