DR. INGRID IRENE VAUGHAN (M.D.) – Anesthesiology Physician, NPI 1124089958
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,337 ANESTHESIOLOGY in VA
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Provider Addresses for DR. INGRID IRENE VAUGHAN (M.D.)
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
DEPT 1041
ATLANTA, GA 303740209
Phone: (941) 360-1566
Fax: (941) 358-9818
Type: Mailing
Sentara CarePlex Hospital, 3000, Coliseum Drive, Hampton City, Virginia, 23666, United States
HAMPTON, VA 236665963
Phone: (757) 736-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-01-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060614000314 | I | Anesthesiology | VA | TBD |
| I20240119003653 | I | Anesthesiology | NY | 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 30374)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | VA | 00142 | Anesthesia for lens surgery | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Plastic And Reconstructive Surgery | NY | |
| - | NY | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| N E U R O L O G Y | NY | |
| Physician Assistant | NY | |
| - | NY | |
| Family Practice | NY | |
| Nurse Practitioner | NY | |
| A N E S T H E S I O L O G Y | FL |
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