DR. JEFFERSON ROGER SR. VAUGHAN (M.D.) – Surgery Physician, NPI 1780649988

DR. JEFFERSON ROGER SR. VAUGHAN (M.D.) is a healthcare provider. based in Jupiter, Florida. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. ME0055039 (FL). The NPI Number for DR. JEFFERSON ROGER SR. VAUGHAN (M.D.) is 1780649988

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFERSON ROGER SR. VAUGHAN (M.D.)
NPI
1780649988
Phone
(561) 741-5695
Address
PO BOX 7532
Enumeration Date
19 April 2006
Last Update Date
2 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617415695
Graduation Year
1998 (28 years ago)
PAC ID
9537163167
Group Practice PAC ID
4284797069
Professional Enrollment ID
I20071212000327
Address ID
FL334587202JU1002XHWYX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,163 GENERAL SURGERY in FL

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Provider Addresses for DR. JEFFERSON ROGER SR. VAUGHAN (M.D.)

  • Jupiter Post Office, 1095, Military Trail, Jupiter, Palm Beach County, Florida, 33458, United States

    JUPITER, FL 334687532

    Phone: (561) 741-5695

    Fax: (561) 741-5697

    Type: Mailing

  • 1002, South Old Dixie Highway, Jupiter, Palm Beach County, Florida, 33458, United States

    STE 203

    JUPITER, FL 334587202

    Phone: (561) 741-5695

    Fax: (561) 741-5697

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-08-20 • Largest payer in this snapshot: LSI SOLUTIONS INC ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
LSI SOLUTIONS INC$13
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: 2007-12-12

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
I20071212000327IGeneral SurgeryFLTBD

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 minutes147147$0
99213Established patient office or other outpatient visit, 20-29 minutes6960$0
99203New patient office or other outpatient visit, 30-44 minutes5959$0
99214Established patient office or other outpatient visit, 30-39 minutes4644$0
49650Repair of groin hernia using an endoscope4242$0
View full utilization report →

Insurance plans in this area (ZIP 33468)

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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: 4284797069View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerFL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology)FL
Internal MedicineFL
General SurgeryFL
Hospitalist, Internal MedicineFL
Internal MedicineFL
Physician AssistantFL

Reviews

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Frequently asked questions

What is the registry number for DR. JEFFERSON ROGER SR. VAUGHAN (M.D.)?
The registry entry for DR. JEFFERSON ROGER SR. VAUGHAN (M.D.) shows NPI 1780649988.
Is DR. JEFFERSON ROGER SR. VAUGHAN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JEFFERSON ROGER SR. VAUGHAN (M.D.) as active.
How should patients interpret DR. JEFFERSON ROGER SR. VAUGHAN (M.D.)'s specialty?
The extract shows Surgery Physician for DR. JEFFERSON ROGER SR. VAUGHAN (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JEFFERSON ROGER SR. VAUGHAN (M.D.)?
DR. JEFFERSON ROGER SR. VAUGHAN (M.D.) is associated with Jupiter, Florida in the same public data insurers reference.
Can I export DR. JEFFERSON ROGER SR. VAUGHAN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.