DR. ALEXANDER THOMAS VAUGHAN (D.D.S.) – Orofacial Pain Dentistry, NPI 1992147599

DR. ALEXANDER THOMAS VAUGHAN (D.D.S.) is a healthcare provider. based in Glen allen, Virginia. specializing in OROFACIAL PAIN. They hold the professional credentials D.D.S.. They hold a License No. 0401415744 (VA). The NPI Number for DR. ALEXANDER THOMAS VAUGHAN (D.D.S.) is 1992147599

Main info

Male
13 Years Of Experience
Name
DR. ALEXANDER THOMAS VAUGHAN (D.D.S.)
NPI
1992147599
Phone
(804) 625-4064
Address
10120 W BROAD ST STE I
Enumeration Date
24 July 2013
Last Update Date
30 March 2023

Doctor Profile

Medical School Name
HERMAN OSTROW SCHOOL OF DENTISTRY OF USC
Secondary Phone
8046254064
Graduation Year
2013 (13 years ago)
PAC ID
0143588301
Group Practice PAC ID
9638410186
Professional Enrollment ID
I20171215000590
Address ID
VA230606709GL10120STXX429
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1 OROFACIAL PAIN in VA

Provider Addresses for DR. ALEXANDER THOMAS VAUGHAN (D.D.S.)

  • 10120 W BROAD ST STE I

    GLEN ALLEN, VA 230606709

    Phone: (804) 625-4064

    Fax: (804) 625-4066

    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 $20.

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

Last reported payment date: 2023-07-17 • Largest payer in this snapshot: ABBVIE INC. ($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

2023-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$20
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: 2017-12-15

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
I20171215000590IOrofacial PainVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3428$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
70355X-ray of lower jaws, upper jaws and teeth2323$0
View full utilization report →

Insurance plans in this area (ZIP 23060)

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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: 9638410186View full group profile
NameSpecialtyState
D E N T I S TSC
D E N T I S TVA

Reviews

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Frequently asked questions

What identifier follows DR. ALEXANDER THOMAS VAUGHAN (D.D.S.) across health systems?
The NPI 1992147599 uniquely identifies DR. ALEXANDER THOMAS VAUGHAN (D.D.S.) in U.S. healthcare data.
Is DR. ALEXANDER THOMAS VAUGHAN (D.D.S.)'s NPI status active today?
Active status means DR. ALEXANDER THOMAS VAUGHAN (D.D.S.)'s NPI record is not deactivated in the public file.
What services align with DR. ALEXANDER THOMAS VAUGHAN (D.D.S.)'s listing?
DR. ALEXANDER THOMAS VAUGHAN (D.D.S.)'s public classification highlights Orofacial Pain Dentistry. Clinical services aligned with this taxonomy classification.
Is DR. ALEXANDER THOMAS VAUGHAN (D.D.S.) tied to Glen Allen, Virginia?
If you are local to Glen Allen, Virginia, DR. ALEXANDER THOMAS VAUGHAN (D.D.S.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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