TODD BAGWELL VAUGHAN M.D. NPI 1538489562

Family Medicine in Livingston, AL

NPI 1538489562 Individual Male Years of Experience 12 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About TODD VAUGHAN

Todd Vaughan is a primary care provider established in Livingston, Alabama and his medical specialization is family medicine with more than 12 years of experience. He graduated from University Of Alabama School Of Medicine in 2010. The NPI number of Todd Vaughan is 1538489562 and was assigned on June 2010. The practitioner's primary taxonomy code is 207Q00000X with license number MD.31197 (AL). The provider is registered as an individual and his NPI record was last updated one year ago.

A primary care provider (PCP) like Todd Bagwell Vaughan M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Todd Vaughan is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Todd Vaughan is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Whitfield Regional Hospital.

NPI

1538489562

Provider Name TODD BAGWELL VAUGHAN M.D.
Provider Location Address1221 N WASHINGTON ST LIVINGSTON, AL 35470
Provider Mailing Address1314 19TH AVE MERIDIAN, MS 39301
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year2010
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-01-2010
Last Update Date04-02-2021


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD.31197
License StateAL
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

TODD BAGWELL VAUGHAN M.D.
1221 N WASHINGTON ST
LIVINGSTON, AL
ZIP 35470
Phone: (205) 652-9575
Fax: (205) 652-7979

Get Directions


Mailing Address

TODD BAGWELL VAUGHAN M.D.
1314 19TH AVE
MERIDIAN, MS
ZIP 39301
Phone: (601) 703-3018
Fax: (601) 703-9283



Secondary Locations

705 US Highway 80 W
Demopolis, AL 36732
(334) 289-0225

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6204001373
PECOS Enrollment IDI20111219000865
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Todd Vaughan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
WHITFIELD REGIONAL HOSPITAL105 HIGHWAY 80 EAST
DEMOPOLIS, AL 36732
(334) 289-4000Acute Care Hospitals10112

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184606501DR. JERRY J. ELLER M.D.
Individual
Pediatrics1221 N WASHINGTON ST
LIVINGSTON, AL 35470
(205) 652-9575
1154302743LABORATORY CORPORATION OF AMERICA HOLDINGS
Organization
Clinical Medical Laboratory1221 N WASHINGTON ST
LIVINGSTON, AL 35470
(205) 652-7680
1982040317KEMPER, CAH, INC
Organization
Clinic/Center (Rural Health)1221 N WASHINGTON ST
LIVINGSTON, AL 35470
(205) 652-9575
1831159474RUSH CARE, INC.
Organization
Clinic/Center (Rural Health)1221 N WASHINGTON ST
LIVINGSTON, AL 35470
(205) 652-9575
1740798164 LAUREN SAVANNAH GRAY NP
Individual
Nurse Practitioner (Family)1221 N WASHINGTON ST
LIVINGSTON, AL 35470
(205) 652-9575

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.