NICHOLAS P VAUGHN (MD) – Rheumatology Physician, NPI 1629462965
Rheumatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
142 RHEUMATOLOGY in WI
Provider Addresses for NICHOLAS P VAUGHN (MD)
8701 W Watertown Plank Rd
Milwaukee, WI 532263548
Phone: (414) 955-4575
Fax: (414) 955-6528
Type: Location
201 Pennsylvania Pkwy Ste 100
Carmel, IN 462801393
Phone: (317) 944-1000
Fax: (317) 817-1410
Type: Location
1701 N Senate Blvd
Indianapolis, IN 462021239
Phone: (888) 484-3258
Type: Location
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone: (262) 434-1000
Fax: (262) 434-5050
Type: Mailing
36500 AURORA DR
SUMMIT, WI 530664899
Phone: (262) 434-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200626001251 | I | Rheumatology | WI | TBD |
| I20240618004396 | I | Rheumatology | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 178 | 95 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 72 | 72 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 42 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 37 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 53226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | OH | |
| Otolaryngology, Plastic And Reconstructive Surgery | IN | |
| A N E S T H E S I O L O G Y | KY | |
| Anesthesiology Assistant | IN | |
| Emergency Medicine, Pediatric Medicine | IN | |
| General Surgery | IN | |
| Neurology, Epileptologists | IN | |
| U R O L O G Y | OH |
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