DR. KALEB LEE VAUGHN (DO) – Internal Medicine Physician, NPI 1679070361

DR. KALEB LEE VAUGHN (DO) is a healthcare provider. based in Tulsa, Oklahoma. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 6792 (OK). The NPI Number for DR. KALEB LEE VAUGHN (DO) is 1679070361

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KALEB LEE VAUGHN (DO)
NPI
1679070361
Phone
(918) 619-4400
Address
4444 E 41ST ST
Enumeration Date
9 April 2018
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9188256334
Graduation Year
2018 (8 years ago)
PAC ID
4880075316
Group Practice PAC ID
3072880624
Professional Enrollment ID
I20220715000029
Address ID
OK743616411PR562XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,476 INTERNAL MEDICINE in OK

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Provider Addresses for DR. KALEB LEE VAUGHN (DO)

  • East 41st Street, Granite Avenue, Tulsa, Tulsa County, Oklahoma, 74135, United States

    TULSA, OK 741352527

    Phone: (918) 619-4400

    Type: Location

  • 562 S ELLIOTT ST

    PRYOR, OK 743616411

    Phone: (918) 824-8000

    Fax: (918) 550-6584

    Type: Location

  • University of Oklahoma - Tulsa, 4502, East 41st Street, Max Campbell V, Tulsa, Tulsa County, Oklahoma, 74135, United States

    TULSA, OK 741352536

    Phone: (918) 660-3416

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-01-24 • Largest payer in this snapshot: PFIZER INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$15
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: 2022-07-15

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
I20220715000029IInternal MedicineOKTBD

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
J0897Injection, denosumab, 1 mg1,38016$0
36415Insertion of needle into vein for collection of blood sample13170$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a6318$0
96372Injection of drug or substance under skin or into muscle4624$0
71046X-ray of chest, 2 views4634$0
View full utilization report →

Insurance plans in this area (ZIP 74135)

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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: 3072880624View full group profile
NameSpecialtyState
Family Practice, Sports MedicineOK
Family Practice, Emergency MedicineOK
Family PracticeOK
-OK
Family PracticeOK
Nurse PractitionerOK
Family PracticeOK

Reviews

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Frequently asked questions

Can I verify DR. KALEB LEE VAUGHN (DO) with an NPI only?
You can start verification with NPI 1679070361 for DR. KALEB LEE VAUGHN (DO), then check state licensing separately.
Does CMS list DR. KALEB LEE VAUGHN (DO) as active?
Yes — DR. KALEB LEE VAUGHN (DO) is active in the NPI listing used on this page.
What is DR. KALEB LEE VAUGHN (DO) best known for clinically?
Directory data describes DR. KALEB LEE VAUGHN (DO) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KALEB LEE VAUGHN (DO)?
DR. KALEB LEE VAUGHN (DO)'s geographic hint is Tulsa, Oklahoma 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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