DR. THOMAS C VAUGHAN III DDS, MD
NPI 1750796322
Dentist - Oral and Maxillofacial Surgery in Fayetteville, AR

Q: What is Thomas Vaughan's NPI number?

The NPI number for Thomas Vaughan is 1750796322. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Q: What is Thomas Vaughan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Vaughan was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 23, 2014PECOS Enrolled

2025 N GREEN ACRES RD, FAYETTEVILLE, AR 72703(479) 202-8666(844) 315-4115 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Thomas C Vaughan Iii Dds, Md NPPES

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

DR. THOMAS C VAUGHAN III DDS, MD (NPI 1750796322) is an individual oral and maxillofacial surgery provider in Fayetteville, Arkansas, licensed in Arkansas (4014) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Smith.

NPPES Registry Identity

NPI1750796322

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. THOMAS C VAUGHAN IIICredential: DDS, MD

Location Address2025 N GREEN ACRES RDFayetteville, AR 72703-2619

Mailing Address2025 N Green Acres RdFayetteville, AR 72703-2619 · (479) 202-8666 · Fax (844) 315-4115

Phone(479) 202-8666

Fax(844) 315-4115

Sole ProprietorNo

Enumeration DateJune 23, 2014

Last NPPES UpdateNovember 17, 2025

NPPES CertifiedNovember 17, 2025

✔ NPI 1750796322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in AR · 4014

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2025 N GREEN ACRES RD, Fayetteville, AR 72703

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Secondary Practice Location 1

Location 12300 S 58th St Ste CFort Smith, AR 72903-3825 · Phone (479) 202-8666 · Fax (844) 315-4115

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas C Vaughan Iii Dds, Md 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 72703 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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.

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.

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$177.14 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JB HAYS, DDS, PA

Dentist (Oral and Maxillofacial Surgery)