DR. JEREMY B VAUGHAN (MD) – Obstetrics & Gynecology Physician, NPI 1215146485

DR. JEREMY B VAUGHAN (MD) is a healthcare provider. based in Cedar hill, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. N8590 (TX). The NPI Number for DR. JEREMY B VAUGHAN (MD) is 1215146485

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMY B VAUGHAN (MD)
NPI
1215146485
Phone
(972) 294-7112
Address
210 S BROAD ST
Enumeration Date
22 May 2007
Last Update Date
29 August 2011

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2149477281
Graduation Year
2007 (19 years ago)
PAC ID
5294903043
Group Practice PAC ID
8224256961
Professional Enrollment ID
I20110721000414
Address ID
TX752373460DA3500XRDXX400
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

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for DR. JEREMY B VAUGHAN (MD)

  • 210, South Broad Street, Cedar Hill, Dallas County, Texas, 75104, United States

    CEDAR HILL, TX 751042664

    Phone: (972) 294-7112

    Fax: (972) 426-6977

    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 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Organon LLC ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$27
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: 2011-07-21

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
I20110721000414IObstetrics/GynecologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75104)

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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: 8224256961View full group profile
NameSpecialtyState
General SurgeryTX
Nurse PractitionerTX
General SurgeryTX
Nurse PractitionerTX
General SurgeryTX
O B S T E T R I C S/ G Y N E C O L O G YLA
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YOR
General SurgeryTX

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JEREMY B VAUGHAN (MD)'s NPI?
Yes. DR. JEREMY B VAUGHAN (MD) is listed with NPI 1215146485 in the public NPI dataset.
Is DR. JEREMY B VAUGHAN (MD) still practicing?
DR. JEREMY B VAUGHAN (MD) is currently listed as active in the public NPI registry.
What is DR. JEREMY B VAUGHAN (MD)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. JEREMY B VAUGHAN (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. JEREMY B VAUGHAN (MD) serve?
DR. JEREMY B VAUGHAN (MD)'s listing highlights Cedar Hill, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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