Active NPI 1639339542 Individual Practitioner Male Practitioner

Dr. David Arthur Vaughn , MD

Surgery • Lancaster, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Vaughn, MD is a certified Surgery practicing in Lancaster, PA. With approximately 21 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 2005, Dr. Vaughn delivers high-quality medical care to the local community at 2101 EMBASSY DR.

Dr. Vaughn is affiliated with Pinnacle Health Medical Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2101 Embassy Dr

Lancaster, PA 176032387

Telephone 7177357410

Fax 7177357438

Associated Practice Facility / Clinic

🏢 Pinnacle Health Medical Services Facility NPI 1730747171

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lancaster, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +2.8 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

33 Specialists

Practicing in Lancaster, PA (1976 Statewide)

Telehealth Adoption Rate

12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vaughn (21 Years) 21 Yrs

Lancaster Specialty Average (18.2 Years) 18.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes	72	44	$178.00	$86.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$376.00	$158.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	20	$113.00	$53.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$247.00	$105.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	16	$168.00	$74.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$316.17	$121.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$251.00	$117.31
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1533.00	$312.75
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$39.00	$17.06
49650 Repair of groin hernia using an endoscope	11	11	$901.73	$451.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	75	$178.00	$87.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$376.00	$159.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	23	$113.00	$54.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$247.00	$108.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$325.44	$127.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$166.90	$77.64
49650 Repair of groin hernia using an endoscope	14	14	$926.50	$470.45
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1533.00	$323.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	42	$170.35	$88.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$376.00	$164.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$247.00	$109.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	17	$113.00	$55.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	14	$167.12	$69.88
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	15	$1533.00	$329.97
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	12	$39.00	$18.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$242.25	$125.72
36415 Insertion of needle into vein for collection of blood sample	11	11	$8.00	$2.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$376.00	$163.93
99213 Established patient office or other outpatient visit, typically 15 minutes	41	28	$169.00	$90.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	16	$168.00	$70.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$313.20	$134.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$236.00	$128.01
49650 Repair of groin hernia using an endoscope	13	13	$1501.00	$533.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$113.00	$55.22
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$39.00	$18.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$247.00	$110.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$340.20	$161.35
99213 Established patient office or other outpatient visit, typically 15 minutes	76	53	$152.88	$73.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	17	$65.68	$38.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	20	$103.83	$44.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	20	$154.08	$70.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$228.38	$105.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$329.14	$139.06
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$38.25	$18.98
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$185.36	$102.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	108	51	$58.00	$39.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$275.00	$157.94
99213 Established patient office or other outpatient visit, typically 15 minutes	84	58	$120.00	$71.36
99221 Initial hospital inpatient care per day, typically 30 minutes	37	36	$145.00	$100.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	18	$75.00	$42.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	21	$100.00	$72.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$175.00	$106.43
47562 Removal of gallbladder using an endoscope	17	17	$1100.00	$651.61
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	13	$30.00	$18.73
49650 Repair of groin hernia using an endoscope	15	15	$744.00	$493.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	119	62	$58.00	$38.59
99213 Established patient office or other outpatient visit, typically 15 minutes	108	73	$120.00	$70.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$275.00	$160.62
99221 Initial hospital inpatient care per day, typically 30 minutes	58	52	$145.43	$100.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	28	$100.00	$69.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$175.00	$101.08
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	33	31	$30.00	$17.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	13	$75.00	$42.34
76937 Ultrasonic guidance for blood vessel access	22	21	$24.00	$14.35
47562 Removal of gallbladder using an endoscope	21	21	$1100.00	$647.65
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	18	$540.00	$323.07
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$600.00	$349.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	140	70	$58.00	$38.25
99213 Established patient office or other outpatient visit, typically 15 minutes	84	58	$120.00	$69.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$275.00	$155.93
99221 Initial hospital inpatient care per day, typically 30 minutes	62	60	$145.00	$97.19
47562 Removal of gallbladder using an endoscope	22	22	$1100.00	$658.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	12	$75.00	$41.77
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	20	$30.00	$18.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	18	$100.00	$67.03

Medical Specialties & State Licenses

CMS Verified: 2021-01-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD432903

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License PA MT185755

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1024615000001 (PA)

Commercial Insurance / Payer ID Independence Blue Cross

3793803000

Commercial Insurance / Payer ID Aetna

9746519 (PA)

Commercial Insurance / Payer ID Independence Blue Cross

3793803000 (PA)

Commercial Insurance / Payer ID Amerihealth Mercy Health Plan

30077903 (PA)

Commercial Insurance / Payer ID Capital Blue Cross

50093866 (PA)

Commercial Insurance / Payer ID Geisinger Health Plan

136870 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

2154660 (PA)

Hospital & Practice Group Affiliations

Pinnacle Health Medical Services

2101 Embassy Dr, Lancaster, PA 176032387

Phone: 7177357410

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Mark Evans , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1457571325

Doctor of Podiatric Medicine

Dr. Margaret Ahrens , MD

Surgery

NPI 1487009072

Doctor of Medicine (M.D.)

Dr. Brian Cronin , DO

Surgery - Vascular Surgery

NPI 1679992382

Doctor of Osteopathic Medicine (D.O.)

Dr. Steven Woratyla , MD

Surgery - Vascular Surgery

NPI 1710997085

Doctor of Medicine (M.D.)

Dr. Jason Comeau , MD

Surgery - Vascular Surgery

NPI 1811108152

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address June 11, 2020

Registered at 2101 EMBASSY DR, LANCASTER, PA 176032387 (Tel: 7177357410)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2020

Surgery (License #MT185755 in PA)

📍

Updated Business Mailing Address August 05, 2019

Registered at 409 S 2ND ST STE 2F, HARRISBURG, PA 171041612 (Tel: 7177357410)

✅

NPI Profile Active November 16, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2010

Registered at 2101 EMBASSY DR, LANCASTER, PA 176032387 (Tel: 7177357410)

📍

Updated Business Mailing Address November 16, 2010

Registered at 2101 EMBASSY DR, LANCASTER, PA 176032387 (Tel: 7177357410)

👤

Provider Name / Credentials Updated November 16, 2010

Recorded as DAVID VAUGHN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2010

Surgery (License #MD432903 in PA)

🟢

Initial NPI Registration & Enumeration June 13, 2008

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: 1639339542

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 13, 2008

Last Update: January 09, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2101 Embassy Dr

Lancaster, PA 176032387

Phone: 7177357410

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.