DR. THOMAS C III VAUGHAN (DDS, MD) – Oral and Maxillofacial Surgery (Dentist), NPI 1750796322
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. THOMAS C III VAUGHAN (DDS, MD)
2300 S 58th St Ste C
Fort Smith, AR 729033825
Phone: (479) 202-8666
Fax: (844) 315-4115
Type: Location
1600 SW ARCHER RD # D7-6
GAINESVILLE, FL 326100416
Phone: (352) 273-6750
Fax: (352) 392-7609
Type: Mailing
2025 N GREEN ACRES RD
FAYETTEVILLE, AR 727032619
Phone: (479) 202-8666
Fax: (844) 315-4115
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $863.
Total Amount is formed as General ($863) + Research ($0) + Ownership ($0) = $863.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Straumann USA LLC ($835).
Total Amount
$863
General + Research + Ownership
Payments
8
Total payment records
General Amount
$863
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Straumann USA LLC | $835 |
| KLS-Martin L.P. | $28 |
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: 2020-06-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200629003140 | I | Oral Surgery | TX | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery, Maxillofacial Surgery | TX | |
| Oral Surgery, Maxillofacial Surgery | IL | |
| Oral Surgery, Maxillofacial Surgery | TX | |
| Maxillofacial Surgery, Oral Surgery | TX |
Reviews
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