SAMMY DWIGHT VAUGHT (M.D.) – Otolaryngology Physician, NPI 1619977220

SAMMY DWIGHT VAUGHT (M.D.) is a healthcare provider. based in Leesburg, Florida. specializing in OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. ME76023 (FL). The NPI Number for SAMMY DWIGHT VAUGHT (M.D.) is 1619977220

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
SAMMY DWIGHT VAUGHT (M.D.)
NPI
1619977220
Phone
(352) 728-2404
Address
601 E DIXIE AVE
Enumeration Date
26 July 2005
Last Update Date
15 July 2019

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
3527282404
Graduation Year
1993 (33 years ago)
PAC ID
3375542079
Group Practice PAC ID
1759380447
Professional Enrollment ID
I20101008000613
Address ID
FL347485953LE601XXAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

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Provider Addresses for SAMMY DWIGHT VAUGHT (M.D.)

  • Dixie Avenue, Leesburg, Lake County, Florida, 32748, United States

    MEDICAL PLAZA 901

    LEESBURG, FL 347485953

    Phone: (352) 728-2404

    Fax: (352) 787-7401

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $445.

Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Acclarent, Inc ($247).

Total Amount

$445

General + Research + Ownership

Payments

7

Total payment records

General Amount

$445

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2010-10-08

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
I20101008000613IOtolaryngologyFLTBD

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
95165Professional service for preparation and provision of 1 or more antigens1,88083$0
99213Established patient office or other outpatient visit, 20-29 minutes916597$0
95004Test for allergy using allergenic extract62413$0
95117Professional service for multiple injections of allergen53070$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes43937$0
View full utilization report →

Insurance plans in this area (ZIP 34748)

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Provider's Procedures

SAMMY DWIGHT VAUGHT (M.D.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYFL95004Injection of allergenic extracts into skin, accessed through the skin252063

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: 1759380447View full group profile
NameSpecialtyState
Otolaryngology, Plastic And Reconstructive SurgeryFL
Nurse PractitionerFL
Otolaryngology, Plastic And Reconstructive SurgeryFL
Physician AssistantFL
-FL
Nurse PractitionerFL
Otolaryngology, Plastic And Reconstructive SurgeryFL
Physician AssistantFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for SAMMY DWIGHT VAUGHT (M.D.)?
SAMMY DWIGHT VAUGHT (M.D.) — NPI 1619977220 — is the standard way to identify this listing.
Can I rely on SAMMY DWIGHT VAUGHT (M.D.) being an active provider?
As of the registry snapshot, SAMMY DWIGHT VAUGHT (M.D.) is marked active.
What taxonomy line describes SAMMY DWIGHT VAUGHT (M.D.)?
For research purposes, treat SAMMY DWIGHT VAUGHT (M.D.) as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SAMMY DWIGHT VAUGHT (M.D.) on a map?
Expect Leesburg, Florida as a primary anchor for SAMMY DWIGHT VAUGHT (M.D.) unless the record lists multiple sites.
Is the information about SAMMY DWIGHT VAUGHT (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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