ANDREW H VAUGHAN (MD) – Otolaryngology Physician, NPI 1164684643

ANDREW H VAUGHAN (MD) is a healthcare provider. based in St george, Utah. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 0116016535 (VA). The NPI Number for ANDREW H VAUGHAN (MD) is 1164684643

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW H VAUGHAN (MD)
NPI
1164684643
Phone
(435) 628-3334
Address
1490 E FOREMASTER DR
Enumeration Date
26 June 2008
Last Update Date
18 June 2009

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
4356283334
Graduation Year
2004 (22 years ago)
PAC ID
1456402353
Group Practice PAC ID
4082772777
Professional Enrollment ID
I20090707000272
Address ID
UT847908721ST617XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

123 OTOLARYNGOLOGY in UT

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Provider Addresses for ANDREW H VAUGHAN (MD)

  • Coral Desert Rehabilitation, 1490 E., Foremaster Drive, St. George, Washington County, Utah, 84690, United States

    SUITE 350

    ST GEORGE, UT 847904488

    Phone: (435) 628-3334

    Fax: (435) 628-3375

    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 3 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($34).

Total Amount

$48

General + Research + Ownership

Payments

3

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

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: 2009-07-07

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
I20090707000272IOtolaryngologyUTTBD

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
69210Removal of impacted ear wax500308$0
99213Established patient office or other outpatient visit, 20-29 minutes417328$0
99214Established patient office or other outpatient visit, 30-39 minutes381294$0
99203New patient office or other outpatient visit, 30-44 minutes137137$0
31575Diagnostic exam of voice box using a flexible endoscope126105$0
View full utilization report →

Insurance plans in this area (ZIP 84790)

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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: 4082772777View full group profile
NameSpecialtyState
Qualified AudiologistUT
O T O L A R Y N G O L O G YUT
O T O L A R Y N G O L O G YUT
O T O L A R Y N G O L O G YUT
-UT
Nurse PractitionerUT
Physician AssistantUT
Physician AssistantUT
Physician AssistantUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Where can patients find ANDREW H VAUGHAN (MD)'s NPI?
You can confirm ANDREW H VAUGHAN (MD) with NPI 1164684643; it appears in the national provider directory.
Does this profile mean ANDREW H VAUGHAN (MD) is currently active?
Yes — ANDREW H VAUGHAN (MD) appears active in the national provider directory.
What field does ANDREW H VAUGHAN (MD) work in?
You can think of ANDREW H VAUGHAN (MD) as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location shows for ANDREW H VAUGHAN (MD)?
We surface St George, Utah for ANDREW H VAUGHAN (MD) based on available NPPES addresses.
Is ANDREW H VAUGHAN (MD) a real provider?
This page reflects official NPPES data for NPI 1164684643. Always confirm identity and privileges with the practice and licensing boards.

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