DR. JORDAN FRANK VAUGHN M.D.
NPI 1639303506
Internal Medicine in Birmingham, AL

Active since May 07, 2009PECOS EnrolledAccepts Medicare Assignment
48.94/100
CMS Quality Rating
4600 HIGHWAY 280, BIRMINGHAM, AL 35242(205) 408-1231 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jordan Frank Vaughn M.d. NPPES

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

DR. JORDAN FRANK VAUGHN M.D. (NPI 1639303506) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (MD.30484) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2009).

NPPES Registry Identity

NPI1639303506
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JORDAN FRANK VAUGHNCredential: M.D.
Location Address4600 HIGHWAY 280Birmingham, AL 35242-5028
Mailing Address4600 Highway 280 SBirmingham, AL 35242-4275 · (205) 408-1231
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2009
Enumeration DateMay 7, 2009
Last NPPES UpdateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
✔ NPI 1639303506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.30484
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4600 HIGHWAY 280, Birmingham, AL 35242

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

Dr. Jordan Frank Vaughn M.d. 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 ID8123208576
PECOS Enrollment IDI20110202000490
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 60

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,322 services120 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.
1,043 services515 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
649 services339 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
551 services76 patients
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody 86769
This procedure checks for antibodies to the COVID-19 virus in your blood. It indicates whether you've had a past infection. The body produces these antibodies while fighting off the virus. It's not a test for current infection.
549 services182 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
454 services285 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35242 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

48.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.02
Promoting Interoperability0
Improvement Activities40
Cost60.11

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%35 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
42%914 patients2/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
39%155 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
12%2,445 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
63%79 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
4%23 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
42%397 patients3/55-star benchmark: 91%
HIV Screening
2%259 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%5,101 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%6,544 patients3/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
62%602 patients2/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims40 services$6.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Family Medicine
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Clinic/Center (Multi-Specialty)
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Pharmacy (Community/Retail Pharmacy)
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Family Medicine
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Nurse Practitioner (Family)
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Pediatrics
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Family Medicine (Sports Medicine)
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Family Medicine
4600 HIGHWAY 280
BIRMINGHAM, AL 35242

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 Jordan Vaughn's NPI number?

The NPI number for Jordan Vaughn is 1639303506. It was assigned to this individual provider in the NPPES registry on May 7, 2009.

Where is Jordan Vaughn located?

Jordan Vaughn practices at 4600 Highway 280, Birmingham, AL 35242. The listed phone number is (205) 408-1231.

What is Jordan Vaughn's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jordan Vaughn enrolled in Medicare?

Yes. Jordan 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 Jordan Vaughn accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Jordan 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.

When was this NPI record last updated?

The NPPES record for Jordan Vaughn was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.