DR. DENNIS RYAN VAUGHN (DPM) – Podiatrist, NPI 1497789572

DR. DENNIS RYAN VAUGHN (DPM) is a healthcare provider. based in Mt. zion, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016005005 (IL). The NPI Number for DR. DENNIS RYAN VAUGHN (DPM) is 1497789572

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. DENNIS RYAN VAUGHN (DPM)
NPI
1497789572
Phone
(217) 864-1922
Address
1640 NORTH STATE HIGHWAY 121
Enumeration Date
11 July 2006
Last Update Date
9 November 2016

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
2178779117
Graduation Year
2001 (25 years ago)
PAC ID
8527036839
Group Practice PAC ID
4385625342
Professional Enrollment ID
I20110923000321
Address ID
IL625214665DE320XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,038 PODIATRY in IL

Provider Addresses for DR. DENNIS RYAN VAUGHN (DPM)

  • 1640 NORTH STATE HIGHWAY 121

    MT. ZION, IL 62549

    Phone: (217) 864-1922

    Fax: (217) 864-1953

    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 32 Open Payments records for all available years, with a total value of $465.

Total Amount is formed as General ($465) + Research ($0) + Ownership ($0) = $465.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Stryker Corporation ($333).

Total Amount

$465

General + Research + Ownership

Payments

32

Total payment records

General Amount

$465

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2011-09-23

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
I20110923000321IPodiatryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes482245$0
99203New patient office or other outpatient visit, 30-44 minutes236236$0
11721Removal of fingernails or toenails, 6 or more nails18389$0
73630X-ray of foot, minimum of 3 views155100$0
99212Established patient office or other outpatient visit, 10-19 minutes13155$0
View full utilization report →

Insurance plans in this area (ZIP 62549)

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Provider's Procedures

DR. DENNIS RYAN VAUGHN (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL11042Removal of skin and tissue first 20 sq cm or less8329
PODIATRYIL11056Removal of 2 to 4 thickened skin growths7639

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: 4385625342View full group profile
NameSpecialtyState
Internal MedicineIL
Clinical Social WorkerIL
Physician AssistantIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
Pediatric MedicineIL
Addiction Medicine, Family PracticeIL
Internal MedicineIL
-IL
Internal MedicineIL

Reviews

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Frequently asked questions

How is DR. DENNIS RYAN VAUGHN (DPM) identified in CMS data?
CMS-hosted NPPES data lists DR. DENNIS RYAN VAUGHN (DPM) with NPI 1497789572.
Is DR. DENNIS RYAN VAUGHN (DPM) still practicing?
DR. DENNIS RYAN VAUGHN (DPM) is currently listed as active in the public NPI registry.
What is DR. DENNIS RYAN VAUGHN (DPM) best known for clinically?
Directory data describes DR. DENNIS RYAN VAUGHN (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. DENNIS RYAN VAUGHN (DPM)?
DR. DENNIS RYAN VAUGHN (DPM)'s geographic hint is Mt. Zion, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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