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KELLY VAUGHN-WHITLEY M.D.
NPI 1760596928
Internal Medicine - Cardiovascular Disease in Rapid City, SD

Active since August 17, 2006PECOS Enrolled
13975 NECK YOKE RD, RAPID CITY, SD 57702(605) 341-1300(605) 341-8785 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Vaughn-whitley M.d. NPPES

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

KELLY VAUGHN-WHITLEY M.D. (NPI 1760596928) is an individual cardiovascular disease provider in Rapid City, South Dakota, licensed in South Dakota (3531) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760596928
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameKELLY VAUGHN-WHITLEYCredential: M.D.
Location Address13975 NECK YOKE RDRapid City, SD 57702-7314
Mailing AddressPo Box 706Rapid City, SD 57709-0706 · (605) 341-1300 · Fax (605) 341-8785
Phone(605) 341-1300
Fax(605) 341-8785
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJune 21, 2021
NPPES CertifiedJune 21, 2021
✔ NPI 1760596928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in SD · 3531✔ Licensed in NE · 17679
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
13975 NECK YOKE RD, Rapid City, SD 57702
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Vaughn-whitley 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 57702 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

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 supplier12 claims12 services$119.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kelly Vaughn-whitley's NPI number?

The NPI number for Kelly Vaughn-whitley is 1760596928. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Kelly Vaughn-whitley located?

Kelly Vaughn-whitley practices at 13975 Neck Yoke Rd, Rapid City, SD 57702. The listed phone number is (605) 341-1300.

What is Kelly Vaughn-whitley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kelly Vaughn-whitley enrolled in Medicare?

Yes. Kelly Vaughn-whitley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Vaughn-whitley was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.