MATTHEW VAUGHN DO
NPI 1629719752
Family Medicine in Maplewood, MN

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109(651) 523-9800 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Matthew Vaughn Do NPPES

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

MATTHEW VAUGHN DO (NPI 1629719752) is an individual family medicine provider in Maplewood, Minnesota, licensed in Minnesota (80119) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1629719752
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW VAUGHNCredential: DO
Location Address2165 WHITE BEAR AVE NMaplewood, MN 55109-2707
Mailing Address7900 Lees Summit RdKansas City, MO 64139-1236
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1629719752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 80119
Definition
Family 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.
2165 WHITE BEAR AVE N, Maplewood, MN 55109

Secondary Practice Location 1

Location 17900 Lees Summit RdKansas City, MO 64139-1236 · Phone (816) 404-4862

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

Matthew Vaughn Do 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 ID4385150218
PECOS Enrollment IDI20250718001336
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.

Hospital Affiliations CMS Care Compare

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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 20

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

Nurse Practitioner (Gerontology)
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Dentist (General Practice)
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Internal Medicine
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
General Practice
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Pediatrics
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Pharmacist
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Family Medicine
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Pediatrics
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109

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 Matthew Vaughn's NPI number?

The NPI number for Matthew Vaughn is 1629719752. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Matthew Vaughn located?

Matthew Vaughn practices at 2165 White Bear Ave N, Maplewood, MN 55109. The listed phone number is (651) 523-9800.

What is Matthew Vaughn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Vaughn enrolled in Medicare?

Yes. Matthew 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 Matthew Vaughn accept?

Health plans from HealthPartners and Medica list Matthew 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.

Is Matthew Vaughn affiliated with any hospitals?

According to CMS data, Matthew Vaughn is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Vaughn was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.