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KERRY VAUGHN RIFKIN M.D.
NPI 1730134644
Surgery - Vascular Surgery in Orange Park, FL

Active since May 23, 2006PECOS Enrolled
2140 KINGSLEY AVE, SUITE 14, ORANGE PARK, FL 32073(904) 276-7997(904) 276-7559 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kerry Vaughn Rifkin M.d. NPPES

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

KERRY VAUGHN RIFKIN M.D. (NPI 1730134644) is an individual vascular surgery provider in Orange Park, Florida, licensed in Florida (ME0041529) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1730134644
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameKERRY VAUGHN RIFKINCredential: M.D.
Location Address2140 KINGSLEY AVE, SUITE 14Orange Park, FL 32073-5180
Mailing Address2140 Kingsley Ave, Suite 14Orange Park, FL 32073-5180 · (904) 276-7997 · Fax (904) 276-7559
Phone(904) 276-7997
Fax(904) 276-7559
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
✔ NPI 1730134644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in FL · ME0041529✔ Licensed in TX · G4046
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2140 KINGSLEY AVE, Orange Park, FL 32073
Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-3431 · Fax (817) 927-3603

Other Identifiers 3

Medicaid067441900FL
Other020016680FL · Railroad Medicare
Other15764FL · Bcbs Of Florida

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry Vaughn Rifkin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

ALEXANDRA RICHETTI
Counselor (Mental Health)
2140 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 375-8388
ABDUL KHALIL WALLIZADA,MD
Pediatrics (Adolescent Medicine)
2140 KINGSLEY AVE, STE.#10
ORANGE PARK, FL 32073
Clay County (904) 276-0005
DR. NADEEM MAALOULI M.D.
Internal Medicine
2140 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 213-0600
PODIATRY ASSOCIATES OF FLORIDA INC
Podiatrist (Foot & Ankle Surgery)
2140 KINGSLEY AVE, STE 12
ORANGE PARK, FL 32073
Clay County (904) 272-7070
MR. DANNY WAYNE WELDON P.T.
Physical Therapist
2140 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 272-2830
SALLY MACDONALD ARMISTEAD FNP
Nurse Practitioner (Family)
2140 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 213-0600
SOLANTIC OF JACKSONVILLE, LLC
Clinic/Center (Urgent Care)
2140 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 213-0600
MRS. ELLEN LOUISE POTTS ARNP
Nurse Practitioner
2140 KINGSLEY AVE, SUITE 2
ORANGE PARK, FL 32073
Clay County (904) 886-4878

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 Kerry Rifkin's NPI number?

The NPI number for Kerry Rifkin is 1730134644. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Kerry Rifkin located?

Kerry Rifkin practices at 2140 Kingsley Ave Suite 14, Orange Park, FL 32073. The listed phone number is (904) 276-7997.

What is Kerry Rifkin's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Kerry Rifkin enrolled in Medicare?

Yes. Kerry Rifkin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerry Rifkin was last updated on March 4, 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.