STEVEN GLENN VAUGHAN (MD) – Specialist, NPI 1366429722

STEVEN GLENN VAUGHAN (MD) is a healthcare provider. based in Tucson, Arizona. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 29930 (TX). The NPI Number for STEVEN GLENN VAUGHAN (MD) is 1366429722

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN GLENN VAUGHAN (MD)
NPI
1366429722
Phone
(520) 882-2172
Address
1775 W SAINT MARYS RD STE 115
Enumeration Date
28 December 2005
Last Update Date
28 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
9405215288
Graduation Year
1996 (30 years ago)
PAC ID
8527043223
Group Practice PAC ID
6608043252
Professional Enrollment ID
I20190612003817
Address ID
TX764504240GR1301XRDXX300

Contacts

Secure Messaging
steven.vaughan.1@19954.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

771 GENERAL SURGERY in AZ

Loading map...

Provider Addresses for STEVEN GLENN VAUGHAN (MD)

  • West Saint Mary's Road, Barrio Anita, Tucson, Pima County, Arizona, 85745, United States

    TUCSON, AZ 857452655

    Phone: (520) 882-2172

    Fax: (520) 623-9125

    Type: Mailing

  • 1301 MONTGOMERY RD

    GRAHAM, TX 764504240

    Phone: (520) 882-2172

    Fax: (940) 521-5289

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $607.

Total Amount is formed as General ($607) + Research ($0) + Ownership ($0) = $607.

Last reported payment date: 2023-03-01 • Largest payer in this snapshot: Endologix LLC ($607).

Total Amount

$607

General + Research + Ownership

Payments

1

Total payment records

General Amount

$607

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Endologix LLC$607
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190612003817IGeneral SurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes124124$0
99214Established patient office or other outpatient visit, 30-39 minutes6961$0
45380Biopsy of large bowel using a flexible endoscope6464$0
99203New patient office or other outpatient visit, 30-44 minutes6060$0
99213Established patient office or other outpatient visit, 20-29 minutes3837$0
View full utilization report →

Insurance plans in this area (ZIP 85745)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608043252View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physician AssistantTX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for STEVEN GLENN VAUGHAN (MD) in U.S. healthcare records?
The official identifier for STEVEN GLENN VAUGHAN (MD) is NPI 1366429722.
Is STEVEN GLENN VAUGHAN (MD) shown as active in public data?
Registry records indicate STEVEN GLENN VAUGHAN (MD) maintains an active NPI.
How would a patient describe STEVEN GLENN VAUGHAN (MD)'s focus?
For STEVEN GLENN VAUGHAN (MD), the primary taxonomy reads as Other Service Providers. Clinical services aligned with this taxonomy classification.
What locale is associated with STEVEN GLENN VAUGHAN (MD)?
Directory geography for STEVEN GLENN VAUGHAN (MD) centers on Tucson, Arizona.
What does 4 location(s) imply?
4 practice locations appear in the available data.

Similar Providers

MITZI J. BARMATZ (M.D.)

Urology Physician
2260 W ORANGE GROVE RD
NPI: 1700888039

KENNETH KIEUN CHOI (MD)

Urology Physician
East Tanque Verde Road, Tucson, Pima County, Arizona, 85749, United States
NPI: 1255333589
6325 E Tanque Verde Rd
NPI: 1538161880
East Tanque Verde Road, Tucson, Pima County, Arizona, 85749, United States
NPI: 1659373892

THOMAS H HICKS (MD)

Urology Physician
East Tanque Verde Road, Tucson, Pima County, Arizona, 85749, United States
NPI: 1679575922

STANLEY J SUFFECOOL (MD)

Urology Physician
East Tanque Verde Road, Tucson, Pima County, Arizona, 85749, United States
NPI: 1003818238
West Saint Mary's Road, Barrio Anita, Tucson, Pima County, Arizona, 85745, United States
NPI: 1780688218
North Silverbell Road, Tucson, Pima County, Arizona, 85709, United States
NPI: 1497750442