DAVID B. VAUGHAN (M.D.) – Family Medicine Physician, NPI 1124027792

DAVID B. VAUGHAN (M.D.) is a healthcare provider. based in Bryan, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. J0331 (TX). The NPI Number for DAVID B. VAUGHAN (M.D.) is 1124027792

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DAVID B. VAUGHAN (M.D.)
NPI
1124027792
Phone
(979) 776-8440
Address
2900 E 29TH ST STE 100
Enumeration Date
18 July 2005
Last Update Date
15 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
9794212000
Graduation Year
1990 (36 years ago)
PAC ID
0840289021
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20040622001017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DAVID B. VAUGHAN (M.D.)

  • 100, East 29th Street, Bryan, Brazos County, Texas, 77803, United States

    BRYAN, TX 778022623

    Phone: (979) 776-8440

    Fax: (877) 601-5854

    Type: Mailing

  • 200, East 29th Street, Bryan, Brazos County, Texas, 77803, United States

    BRYAN, TX 778022623

    Phone: (979) 436-0483

    Fax: (877) 601-5854

    Type: Location

  • 604 Highway 290 W

    Brenham, TX 778335432

    Phone: (979) 421-2000

    Fax: (979) 421-9678

    Type: Location

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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-06-06 • Largest payer in this snapshot: Exact Sciences Corporation ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-06-22

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
I20040622001017IFamily PracticeTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes12095$0
99213Established patient office or other outpatient visit, 20-29 minutes7262$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1919$0
View full utilization report →

Insurance plans in this area (ZIP 77802)

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Provider's Procedures

DAVID B. VAUGHAN (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX90670Pneumococcal vaccine for injection into muscle4141

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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Can I verify DAVID B. VAUGHAN (M.D.) with an NPI only?
You can start verification with NPI 1124027792 for DAVID B. VAUGHAN (M.D.), then check state licensing separately.
Does the file indicate DAVID B. VAUGHAN (M.D.) is practicing under active NPI?
Directory data currently reports DAVID B. VAUGHAN (M.D.) as active.
What is DAVID B. VAUGHAN (M.D.) best known for clinically?
Directory data describes DAVID B. VAUGHAN (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DAVID B. VAUGHAN (M.D.) on a map?
Expect Bryan, Texas as a primary anchor for DAVID B. VAUGHAN (M.D.) unless the record lists multiple sites.
Why does DAVID B. VAUGHAN (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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