Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780179333 Individual Practitioner Male Practitioner

Storm Bradley Vaughn , AA

Anesthesiologist Assistant • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Storm Vaughn, AA is a certified Anesthesiologist Assistant practicing in Fort Wayne, IN. With approximately 8 years of clinical experience since graduating from Emory University School Of Medicine in 2018, Storm Vaughn delivers high-quality medical care to the local community at 11109 PARKVIEW PLAZA DR.

Storm Vaughn is affiliated with Miami Anesthesia Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for exam of colon using an endoscope, anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11109 Parkview Plaza Dr

Fort Wayne, IN 46845

Telephone 2604256030
Fax 2604256028
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Fort Wayne, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs +3.3 yrs vs City Avg
City Avg: 4.7 Yrs
State Avg: 4.7 Yrs
Regional Practice Density
41 Specialists

Practicing in Fort Wayne, IN (164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vaughn (8 Years) 8 Yrs
Fort Wayne Specialty Average (4.7 Years) 4.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00812 Anesthesia for exam of colon using an endoscope
62 62 $798.48 $45.70
00811 Anesthesia for procedure on large bowel using an endoscope
58 57 $805.34 $57.93
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
54 54 $863.33 $65.18
00813 Anesthesia for procedure on small and large bowel using an endoscope
21 21 $1028.57 $76.20

Medical Specialties & State Licenses

CMS Verified: 2025-10-31
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License FL AA484

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Anesthesiologist Assistant

NUCC Taxonomy Code: 367H00000X

State License IN 75000046A

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Anesthesiologist Assistant

NUCC Taxonomy Code: 367H00000X

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Hospital & Practice Group Affiliations

Miami Anesthesia Services Llc

266 Nw Peacock Blvd, Port St Lucie, FL 349862271

Phone: 7724464883

Secondary Practice Locations

1300 Miccosukee Rd

Tallahassee, FL 323085037

Phone: 8504311155

1300 Miccosukee Rd

Tallahassee, FL 323085037

Phone: 8504311155

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003305095

Doctor of Medicine (M.D.)

NPI 1033541263

Doctor of Medicine (M.D.)

Carter Filchak

Anesthesiologist Assistant

NPI 1053118364
Kendra Dempsey

Anesthesiologist Assistant

NPI 1063235471
Yazan Adhami , AA

Anesthesiologist Assistant

NPI 1073311940
NPI 1104823343

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2025

Anesthesiologist Assistant (License #75000046A in IN)

📍
Updated Practice Location September 09, 2019

Registered at 11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845 (Tel: 2604256030)

📍
Updated Business Mailing Address September 09, 2019

Registered at 3702 NEW VISION DR BLDG B, FORT WAYNE, IN 468451703

NPI Profile Active June 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2018

Registered at 1300 MICCOSUKEE RD, TALLAHASSEE, FL 323085037 (Tel: 8504311155)

📍
Updated Business Mailing Address June 26, 2018

Registered at 101 BRENDYLYNN TRCE, WOODSTOCK, GA 301885137 (Tel: 6786449709)

👤
Provider Name / Credentials Updated June 26, 2018

Recorded as STORM VAUGHN, AA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2018

Anesthesiologist Assistant

🟢
Initial NPI Registration & Enumeration June 26, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780179333
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2018
Last Update: October 31, 2025
Sole Proprietor: No

Mailing Address

3702 New Vision Dr Bldg B

Fort Wayne, IN 468451703

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.