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KERRY L VAUGHN CRNP
NPI 1760989115
Nurse Practitioner - Family in Wexford, PA

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment
12311 PERRY HWY FL 1, WEXFORD, PA 15090(878) 332-4174(878) 332-4479 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2020, Jul 11, 2018, Apr 11, 2018 (3 updates tracked since 2018).

About Kerry L Vaughn Crnp NPPES

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

KERRY L VAUGHN CRNP (NPI 1760989115) is an individual family provider in Wexford, Pennsylvania, licensed in Pennsylvania (SP018735) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1760989115
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKERRY L VAUGHNCredential: CRNP
Location Address12311 PERRY HWY FL 1Wexford, PA 15090
Mailing Address12311 Perry HwyWexford, PA 15090-8344 · (878) 332-4159 · Fax (878) 332-4479
Phone(878) 332-4174
Fax(878) 332-4479
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 11, 2018
Last NPPES UpdateOctober 2, 20203 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1760989115 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 PA · SP018735
12311 PERRY HWY FL 1, Wexford, PA 15090
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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 and accepts Medicare assignment

Kerry L Vaughn Crnp 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 ID2769730993
PECOS Enrollment IDI20180806000213
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services47 patients
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.
37 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
19 services18 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.
18 services18 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%279 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
61%56 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,367 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%429 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%2,946 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 471 patients
Patients totalRate: 0% · 471 patients
0%471 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

ALLEGHENY CLINIC
Genetic Counselor, MS
12311 PERRY HWY FL 1
WEXFORD, PA 15090
Allegheny County (878) 332-4049

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 Vaughn's NPI number?

The NPI number for Kerry Vaughn is 1760989115. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Kerry Vaughn located?

Kerry Vaughn practices at 12311 Perry Hwy Fl 1, Wexford, PA 15090. The listed phone number is (878) 332-4174.

What is Kerry Vaughn's specialty?

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

Is Kerry Vaughn enrolled in Medicare?

Yes. Kerry 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.

When was this NPI record last updated?

The NPPES record for Kerry Vaughn was last updated on October 2, 2020. 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.