DR. ALEXANDER THOMAS VAUGHAN D.D.S.
NPI 1992147599
Dentist - Orofacial Pain in Glen Allen, VA

Active since July 24, 2013PECOS Enrolled
10120 W BROAD ST STE I, GLEN ALLEN, VA 23060(804) 625-4064(804) 625-4066 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2023, Sep 30, 2019, Jul 16, 2019 and 3 more (6 updates tracked since 2017).

About Dr. Alexander Thomas Vaughan D.d.s. NPPES

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

DR. ALEXANDER THOMAS VAUGHAN D.D.S. (NPI 1992147599) is an individual orofacial pain provider in Glen Allen, Virginia, licensed in Virginia (0401415744) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Herman Ostrow School Of Dentistry Of Usc (2013).

NPPES Registry Identity

NPI1992147599
Entity TypeIndividualMale
Primary Taxonomy1223X2210X
Provider Legal NameDR. ALEXANDER THOMAS VAUGHANCredential: D.D.S.
Location Address10120 W BROAD ST STE IGlen Allen, VA 23060-6709
Mailing Address10120 W Broad St Ste IGlen Allen, VA 23060-6709 · (804) 625-4064 · Fax (804) 625-4066
Fax(804) 625-4066
Sole ProprietorNo
Medical School CMSHerman Ostrow School Of Dentistry Of UscGraduated 2013
Enumeration DateJuly 24, 2013
Last NPPES UpdateMarch 30, 20236 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
NPI 1992147599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License Licensed in VA · 0401415744
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
10120 W BROAD ST STE I, Glen Allen, VA 23060

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. Alexander Thomas Vaughan D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143588301
PECOS Enrollment IDI20171215000590
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 3

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.
70 services60 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.
42 services42 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23060 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 3

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

Dentist
10120 W BROAD ST STE I
GLEN ALLEN, VA 23060
Dentist
10120 W BROAD ST STE I
GLEN ALLEN, VA 23060
Dentist
10120 W BROAD ST STE I
GLEN ALLEN, VA 23060

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 Alexander Vaughan's NPI number?

The NPI number for Alexander Vaughan is 1992147599. It was assigned to this individual provider in the NPPES registry on July 24, 2013.

Where is Alexander Vaughan located?

Alexander Vaughan practices at 10120 W Broad St Ste I, Glen Allen, VA 23060. The listed phone number is (804) 625-4064.

What is Alexander Vaughan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Alexander Vaughan enrolled in Medicare?

Yes. Alexander Vaughan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Vaughan was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.