KATHI L VAUGHN FNP-BC
NPI 1700074762
Nurse Practitioner - Family in Altamont, IL

Active since October 04, 2007PECOS EnrolledAccepts Medicare Assignment
54.31/100
CMS Quality Rating
3 DO IT DR, ALTAMONT, IL 62411(217) 528-7541(618) 483-6718 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2020, Dec 9, 2015 (2 updates tracked since 2015).

About Kathi L Vaughn Fnp-bc NPPES

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

KATHI L VAUGHN FNP-BC (NPI 1700074762) is an individual family provider in Altamont, Illinois, licensed in Illinois (209006750) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1700074762
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHI L VAUGHNCredential: FNP-BC
Location Address3 DO IT DRAltamont, IL 62411-1135
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Fax(618) 483-6718
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 4, 2007
Last NPPES UpdateJanuary 22, 20202 updates tracked since enumeration
NPI 1700074762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209006750
3 DO IT DR, Altamont, IL 62411

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

Kathi L Vaughn Fnp-bc 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 ID8628164704
PECOS Enrollment IDI20071020000142
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 3

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 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.
52 services51 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.
42 services42 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services19 patients

Hospital Affiliations CMS Care Compare 2

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62411 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

54.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.42
Improvement Activities40
Cost47.77

Referred Medical Equipment & Supplies CMS DME claims 6

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
4 suppliers12 claims32 services$4.93 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier11 claims66 services$2.88 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier28 claims28 services$8.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier39 claims39 services$108.57 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$180.47 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier14 claims14 services$23.93 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 5

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

Nurse Practitioner (Family)
3 DO IT DR
ALTAMONT, IL 62411
Clinical Medical Laboratory
3 DO IT DR
ALTAMONT, IL 62411
Family Medicine
3 DO IT DR
ALTAMONT, IL 62411
Clinic/Center (Rural Health)
3 DO IT DR
ALTAMONT, IL 62411
Nurse Practitioner (Family)
3 DO IT DR
ALTAMONT, IL 62411

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 Kathi Vaughn's NPI number?

The NPI number for Kathi Vaughn is 1700074762. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Kathi Vaughn located?

Kathi Vaughn practices at 3 Do It Dr, Altamont, IL 62411. The listed phone number is (217) 528-7541.

What is Kathi Vaughn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathi Vaughn enrolled in Medicare?

Yes. Kathi 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 Kathi Vaughn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kathi 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 Kathi Vaughn affiliated with any hospitals?

According to CMS data, Kathi Vaughn is affiliated with St Anthonys Memorial Hospital and Fayette County Hospital.

When was this NPI record last updated?

The NPPES record for Kathi Vaughn was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.