SPENCER SAGE VAUGHN – Physical Therapist, NPI 1164069423

SPENCER SAGE VAUGHN is a healthcare provider. based in Raleigh, North Carolina. specializing in Physical Therapist. They hold a License No. P1256 (NC). The NPI Number for SPENCER SAGE VAUGHN is 1164069423

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER SAGE VAUGHN
NPI
1164069423
Phone
(919) 774-1595
Address
1714 CANTERBURY RD
Enumeration Date
5 December 2019
Last Update Date
20 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9197741595
Graduation Year
2019 (7 years ago)
PAC ID
7719315365
Group Practice PAC ID
8820909377
Professional Enrollment ID
I20200316000436
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for SPENCER SAGE VAUGHN

  • 1714 CANTERBURY RD

    RALEIGH, NC 276081110

    Phone: (919) 774-1595

    Type: Mailing

  • 2919 BEECHTREE DR STE 145

    SANFORD, NC 273306934

    Phone: (919) 774-1595

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,05775$0
97140Therapy procedure using manual technique, each 15 minutes34056$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes9714$0
97161Evaluation for physical therapy, typically 20 minutes4141$0
97162Evaluation for physical therapy, typically 30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 27608)

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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: 8820909377View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC
H E M A T O L O G Y/ O N C O L O G YNC
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)NC
Nurse PractitionerNC
Physical Therapist In Private PracticeNC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

Where can patients find SPENCER SAGE VAUGHN's NPI?
You can confirm SPENCER SAGE VAUGHN with NPI 1164069423; it appears in the national provider directory.
Is SPENCER SAGE VAUGHN active in the national directory?
SPENCER SAGE VAUGHN's public NPI profile is in an active state.
What field does SPENCER SAGE VAUGHN work in?
You can think of SPENCER SAGE VAUGHN as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Does SPENCER SAGE VAUGHN practice in North Carolina?
You will see Raleigh, North Carolina on file for SPENCER SAGE VAUGHN alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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