MARK VAUGHN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1477948917

MARK VAUGHN (DPM) is a healthcare provider. based in Rockledge, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO3992 (FL). The NPI Number for MARK VAUGHN (DPM) is 1477948917

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MARK VAUGHN (DPM)
NPI
1477948917
Phone
(321) 638-2121
Address
1950 ROCKLEDGE BLVD STE 107
Enumeration Date
1 April 2015
Last Update Date
20 September 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3217493623
Graduation Year
2015 (11 years ago)
PAC ID
3072863273
Professional Enrollment ID
I20180910002362
Address ID
FL329071900PA6100XNWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for MARK VAUGHN (DPM)

  • 1950 ROCKLEDGE BLVD STE 107

    ROCKLEDGE, FL 329553763

    Phone: (321) 638-2121

    Fax: (321) 638-2126

    Type: Mailing

  • 6100 MINTON RD NW STE 101

    PALM BAY, FL 329071900

    Phone: (321) 802-4075

    Fax: (321) 802-4074

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,243.

Total Amount is formed as General ($1,243) + Research ($0) + Ownership ($0) = $1,243.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($575).

Total Amount

$1,243

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-09-10

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
I20180910002362IPodiatryFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,232367$0
11042Removal of skin and tissue, 20.0 sq cm or less21037$0
99204New patient office or other outpatient visit, 45-59 minutes153153$0
77077X-ray of joints, multiple9454$0
20550Injection into tendon or ligament4330$0
View full utilization report →

Insurance plans in this area (ZIP 32955)

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Reviews

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Frequently asked questions

Is there an official ID for MARK VAUGHN (DPM) in U.S. healthcare records?
The official identifier for MARK VAUGHN (DPM) is NPI 1477948917.
Is MARK VAUGHN (DPM) still an active registrant?
MARK VAUGHN (DPM) carries an active NPI according to the public dataset.
What kind of doctor is MARK VAUGHN (DPM)?
MARK VAUGHN (DPM) is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is MARK VAUGHN (DPM) registered?
Use Rockledge, Florida as the headline location for MARK VAUGHN (DPM) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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