DR. JAMES VAUGHAN (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1003019860
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
354 PATHOLOGY in WI
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Provider Addresses for DR. JAMES VAUGHAN (M.D.)
8701, West Watertown Plank Road, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
MILWAUKEE, WI 532263548
Phone: (414) 456-8296
Type: Location
315,315A, North 71st Street, Wellauer Park, Wauwatosa, Milwaukee County, Wisconsin, 53213, United States
WAUWATOSA, WI 532133745
Phone: (214) 533-4830
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 $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Shionogi 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
2024-04-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shionogi Inc | $20 |
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: 2012-08-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120828000768 | I | Pathology | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 671 | 322 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 325 | 108 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 232 | 177 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 187 | 125 | $0 |
| 88189 | Flow cytometry technique for dna or cell analysis, 16 or more markers | 158 | 136 | $0 |
Insurance plans in this area (ZIP 53226)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | TN | |
| - | TN | |
| P A T H O L O G Y | AL | |
| - | TN | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | TN |
Reviews
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