DR. SHANELE MCGOWAN VAUGHN (MD) – Interventional Pain Medicine Physician, NPI 1902194822
Interventional Pain Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
309 INTERVENTIONAL PAIN MANAGEMENT in IL
Provider Addresses for DR. SHANELE MCGOWAN VAUGHN (MD)
PO BOX 16008
CHICAGO, IL 606160001
Phone: (708) 972-9695
Fax: (708) 576-8491
Type: Mailing
5571 W 95TH ST
OAK LAWN, IL 604532356
Phone: (708) 972-9695
Fax: (708) 401-0194
Type: Location
210 Medical Pavilion Dr
Raeford, NC 283769111
Phone: (910) 904-8000
Fax: (910) 904-8445
Type: Location
4755 OGLETOWN STANTON ROAD
SUITE 2E99
NEWARK, DE 197182200
Phone: (302) 733-7706
Fax: (302) 733-6081
Type: Location
2214 Canterbury Dr Ste 202
Hays, KS 676012375
Phone: (785) 623-2312
Type: Location
280 Interstate North Cir SE Ste 600
Atlanta, GA 303392454
Phone: (470) 561-4802
Fax: (678) 441-8639
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $38.
Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.
Last reported payment date: 2023-03-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($20).
Total Amount
$38
General + Research + Ownership
Payments
2
Total payment records
General Amount
$38
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $20 |
| Celgene Corporation | $18 |
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: 2026-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 12 Medicare enrollment records; no due dates published yet.
Enrollment records
12
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 |
|---|---|---|---|---|
| I20161019002618 | I | Neurology | IL | TBD |
| I20240807003465 | I | Neurology | NM | TBD |
| I20241001003603 | I | Neurology | KS | TBD |
| I20241209002161 | I | Neurology | GA | TBD |
| I20250107000743 | I | Neurology | IA | TBD |
| I20250326002259 | I | Neurology | NC | TBD |
| I20250414002783 | I | Neurology | DE | TBD |
| I20250416002203 | I | Neurology | MD | TBD |
| I20250515001255 | I | Neurology | DC | TBD |
| I20250623001885 | I | Neurology | FL | TBD |
| I20250814003767 | I | Neurology | VA | TBD |
| I20260227000161 | I | Neurology | PA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 60616)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| H O S P I T A L I S T | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Hospitalist, Internal Medicine | IN | |
| N E U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Hospitalist, Internal Medicine | GA |
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