1. Home
  2. Directory
  3. Tennessee
  4. Mt Juliet
  5. Family Medicine
  6. NPI Profile

VAUGHAN DABNEY HALL MD
NPI 1740281252
Family Medicine in Mt Juliet, TN

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
5003 CROSSINGS CIR STE 103, MT JULIET, TN 37122(615) 754-7274(615) 754-7275 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vaughan Dabney Hall Md NPPES

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

VAUGHAN DABNEY HALL MD (NPI 1740281252) is an individual family medicine provider in Mt Juliet, Tennessee, licensed in Tennessee (MD29520) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1982).

NPPES Registry Identity

NPI1740281252
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameVAUGHAN DABNEY HALLCredential: MD
Location Address5003 CROSSINGS CIR STE 103Mt Juliet, TN 37122-8583
Mailing Address5003 Crossings Cir Ste 103Mt Juliet, TN 37122-8583 · (615) 754-7275 · Fax (615) 754-7274
Phone(615) 754-7274
Fax(615) 754-7275
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1982
Enumeration DateAugust 9, 2005
Last NPPES UpdateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
✔ NPI 1740281252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TN · MD29520✔ Licensed in TN · 29520
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.
5003 CROSSINGS CIR STE 103, Mt Juliet, TN 37122
Open in Google Maps ↗

Other Identifiers 1

Medicaid3811803TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vaughan Dabney Hall Md 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 ID3274542949
PECOS Enrollment IDI20060410000134
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vaughan Hall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Progressive Care Medical Group Of Tn PLLC
16 mi
Internal Medicine
438 N WATER AVE
Gallatin, TN 37066
  • Reassigned Medicare billing, Tennessee enrollment
  • 28 clinicians in this Medicare group
NPI 1164939039 (800) 860-3274
Mobile Hyperbaric Centers, LLC
451 mi
Undersea and Hyperbaric Medicine
600 SUPERIOR AVE E STE 2400
Cleveland, OH 44114
  • Reassigned Medicare billing, Tennessee enrollment
  • 8 clinicians in this Medicare group
NPI 1568410686 (216) 443-0430

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval G0277
Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room or tube. You'll be in a full body chamber for 30-minute intervals. This high-pressure environment allows your lungs to gather more oxygen, which can promote healing and fight infection.
695 services14 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
686 services149 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
257 services213 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
175 services14 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
13 services13 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37122 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims262 services$2.84 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims3,763 services$0.58 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 2

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

KATELYN ELIZABETH ROXANNE WEBER FNP
Nurse Practitioner (Family)
5003 CROSSINGS CIR STE 103
MOUNT JULIET, TN 37122
Wilson County (216) 443-0430
LAUREN MCCARTNEY MANZO AGPCNP-BC
Nurse Practitioner
5003 CROSSINGS CIR STE 103
MT JULIET, TN 37122
Wilson County (615) 754-7274

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 Vaughan Hall's NPI number?

The NPI number for Vaughan Hall is 1740281252. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Vaughan Hall located?

Vaughan Hall practices at 5003 Crossings Cir Ste 103, Mt Juliet, TN 37122. The listed phone number is (615) 754-7274.

What is Vaughan Hall's specialty?

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

Is Vaughan Hall enrolled in Medicare?

Yes. Vaughan Hall 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.

Which organizations bill Medicare for Vaughan Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vaughan Hall reassigns Medicare benefits to 2 organizations: Progressive Care Medical Group Of Tn PLLC (Gallatin, TN) and Mobile Hyperbaric Centers, LLC (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vaughan Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vaughan Hall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Cigna Healthcare and Oscar Insurance Corporation of Ohio list Vaughan Hall 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 Vaughan Hall was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.