WINSTON CANUTE VAUGHAN M.D.
NPI 1821182973
Specialist in Atherton, CA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
87.26/100
CMS Quality Rating
3351 EL CAMINO REAL, STE 200, ATHERTON, CA 94027(650) 399-4630(650) 366-4930 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Winston Canute Vaughan M.d. NPPES

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

WINSTON CANUTE VAUGHAN M.D. (NPI 1821182973) is an individual specialist in Atherton, California, licensed in California (G77809) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1992).

NPPES Registry Identity

NPI1821182973
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameWINSTON CANUTE VAUGHANCredential: M.D.
Location Address3351 EL CAMINO REAL, STE 200Atherton, CA 94027-3811
Mailing Address1111 Exposition Blvd, Bldg 700Sacramento, CA 95815-4314 · (916) 736-3408 · Fax (916) 233-4171
Fax(650) 366-4930
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1992
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 19, 2015
NPI 1821182973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G77809
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3351 EL CAMINO REAL, Atherton, CA 94027

Other Identifiers 1

Medicare PIN1821182973

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

Winston Canute Vaughan M.d. 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 ID3870544463
PECOS Enrollment IDI20050201000322
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 8

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
1,481 services629 patients
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.
1,140 services522 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.
344 services223 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
86 services78 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
73 services48 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 patients

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.

87.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.97
Promoting Interoperability85.91
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
4%83 patients
Breast Cancer Screening
66%385 patients3/55-star benchmark: 93%
Cervical Cancer Screening
28%424 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
48%902 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
51%296 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
2%62 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
95%62 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
63%4,113 patients2/55-star benchmark: 100%
e-Prescribing
100%269 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
2%699 patients1/55-star benchmark: 100%
HIV Screening
15%1,049 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%1,658 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%1,529 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 982 patients
Patients screened: 89% · 982 patients
0%26 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%668 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
69%392 patients3/55-star benchmark: 91%
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers21 claims21 services$31.05 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers19 claims114 services$11.55 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers26 claims26 services$44.02 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers18 claims18 services$14.18 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers29 claims170 services$1.60 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers34 claims34 services$26.60 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 16

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

Nurse Practitioner
3351 EL CAMINO REAL, STE 200
ATHERTON, CA 94027
Dentist
3351 EL CAMINO REAL, SUITE 235
ATHERTON, CA 94027
Dentist
3351 EL CAMINO REAL, SUITE 235
ATHERTON, CA 94027
Registered Nurse
3351 EL CAMINO REAL
ATHERTON, CA 94027
Clinic/Center (Ambulatory Surgical)
3351 EL CAMINO REAL, STE 220
ATHERTON, CA 94027
Dentist (Endodontics)
3351 EL CAMINO REAL, STE. 222
ATHERTON, CA 94027
Surgery (Plastic and Reconstructive Surgery)
3351 EL CAMINO REAL
ATHERTON, CA 94027
Physical Therapist (Sports)
3351 EL CAMINO REAL, SUITE 180
ATHERTON, CA 94027

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 Winston Vaughan's NPI number?

The NPI number for Winston Vaughan is 1821182973. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Winston Vaughan located?

Winston Vaughan practices at 3351 El Camino Real Ste 200, Atherton, CA 94027. The listed phone number is (650) 399-4630.

What is Winston Vaughan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Winston Vaughan enrolled in Medicare?

Yes. Winston Vaughan 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 Winston Vaughan was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.