DEBORAH VAUGHAN (PA-C) – Surgical Physician Assistant, NPI 1376875716
Surgical Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for DEBORAH VAUGHAN (PA-C)
Subway, 1611, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60607, United States
SUITE 550
CHICAGO, IL 606124861
Phone: (312) 942-6100
Fax: (312) 942-6653
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)
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: 2020-04-14
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 |
|---|---|---|---|---|
| I20141014000255 | I | Physician Assistant | IL | TBD |
| I20200414000142 | I | Physician Assistant | CT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 197 | 126 | $0 |
| 69210 | Removal of impacted ear wax | 152 | 120 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 135 | 135 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 38 | 35 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 25 | 23 | $0 |
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| O T O L A R Y N G O L O G Y | CT | |
| Qualified Audiologist | MA | |
| O T O L A R Y N G O L O G Y | CT | |
| Physician Assistant | CT | |
| O T O L A R Y N G O L O G Y | CT | |
| Surgical Oncology, Otolaryngology | CT | |
| Plastic And Reconstructive Surgery, Otolaryngology | CT | |
| Qualified Audiologist | CT | |
| O T O L A R Y N G O L O G Y | CT |
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