Active NPI 1922017235 Individual Practitioner Male Practitioner

Dr. Thomas Keith Vaughan , MD

Dermatology • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Vaughan, MD is a registered healthcare professional specializing in Dermatology in Puyallup, WA. Practice services are available at 929 E MAIN AVE under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

929 E Main Ave
Ste 210

Puyallup, WA 983723116

Telephone 2538412453

Fax 2538405519

Associated Practice Facility / Clinic

🏢 Puyallup Dermatology Clinic Inc P.s. Facility NPI 1740281344

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Puyallup, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.2 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Puyallup, WA (397 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	407	102	$23.00	$6.69
99213 Established patient office or other outpatient visit, typically 15 minutes	285	222	$125.00	$91.98
17000 Destruction of skin growth	139	131	$145.00	$57.64
88305 Pathology examination of tissue using a microscope, intermediate complexity	113	75	$205.00	$59.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	71	$185.00	$130.78
11102 Tangential biopsy of single skin lesion	60	55	$202.00	$99.98
17110 Destruction of up to 14 skin growths	25	21	$175.00	$116.91
11103 Biopsy of related skin growth, each additional growth	22	16	$110.00	$54.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,374	260	$23.00	$6.12
99213 Established patient office or other outpatient visit, typically 15 minutes	820	536	$125.00	$75.57
17000 Destruction of skin growth	415	327	$145.00	$55.10
88305 Pathology examination of tissue using a microscope, intermediate complexity	383	237	$205.00	$68.70
11102 Tangential biopsy of single skin lesion	205	183	$202.00	$94.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	94	$185.00	$109.73
17110 Destruction of up to 14 skin growths	85	66	$175.00	$110.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$180.00	$108.06
11103 Biopsy of related skin growth, each additional growth	67	51	$110.00	$54.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	18	$40.00	$14.43
11104 Punch biopsy, first skin growth	19	19	$254.00	$125.40
17004 Destruction of precancer skin growth, 15 or more growths	17	16	$470.00	$162.14
69100 Biopsy of ear	15	14	$170.00	$77.22
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$450.00	$299.16
88304 Pathology examination of tissue using a microscope, moderately low complexity	13	12	$115.00	$37.43
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$140.00	$76.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,140	375	$23.00	$5.71
99213 Established patient office or other outpatient visit, typically 15 minutes	1,078	673	$125.00	$74.50
17000 Destruction of skin growth	630	477	$145.00	$58.20
88305 Pathology examination of tissue using a microscope, intermediate complexity	460	292	$205.00	$67.48
11102 Tangential biopsy of single skin lesion	265	242	$202.00	$95.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	209	209	$180.00	$108.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	146	$185.00	$108.07
11103 Biopsy of related skin growth, each additional growth	90	70	$110.00	$54.14
17110 Destruction of up to 14 skin growths	73	70	$175.00	$110.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	27	$40.00	$16.88
17004 Destruction of precancer skin growth, 15 or more growths	28	24	$470.00	$154.25
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$140.00	$76.99
69100 Biopsy of ear	24	22	$170.00	$76.98
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	23	$450.00	$309.52
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	19	$270.00	$145.15
11104 Punch biopsy, first skin growth	21	21	$254.00	$126.20
11900 Injection into skin growth, 1-7 growths	19	15	$90.00	$52.29
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	17	$320.00	$202.94
88304 Pathology examination of tissue using a microscope, moderately low complexity	18	18	$115.00	$39.34
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$247.00	$132.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,031	332	$23.00	$5.16
99213 Established patient office or other outpatient visit, typically 15 minutes	1,018	638	$125.00	$70.90
17000 Destruction of skin growth	575	416	$145.00	$54.52
88305 Pathology examination of tissue using a microscope, intermediate complexity	406	255	$205.00	$64.72
11100 Biopsy of single growth of skin and/or tissue	252	229	$165.00	$97.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	154	$185.00	$104.99
17110 Destruction of up to 14 skin growths	137	109	$175.00	$108.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$180.00	$104.60
11101 Biopsy of each additional growth of skin and/or tissue	84	62	$69.00	$31.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	33	$40.00	$19.87
17004 Destruction of precancer skin growth, 15 or more growths	37	32	$470.00	$141.81
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	35	34	$320.00	$194.80
69100 Biopsy of ear	29	28	$170.00	$78.88
88304 Pathology examination of tissue using a microscope, moderately low complexity	28	26	$115.00	$37.09
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	17	$450.00	$280.44
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$140.00	$73.07
11900 Injection into skin growth, 1-7 growths	17	13	$90.00	$50.31
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	15	13	$280.00	$157.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,929	340	$23.00	$5.59
99213 Established patient office or other outpatient visit, typically 15 minutes	1,072	662	$125.00	$72.11
88305 Pathology examination of tissue using a microscope, intermediate complexity	572	313	$205.00	$64.67
17000 Destruction of skin growth	558	421	$145.00	$54.24
11100 Biopsy of single growth of skin and/or tissue	346	300	$165.00	$99.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	187	187	$180.00	$105.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	149	$185.00	$105.29
11101 Biopsy of each additional growth of skin and/or tissue	143	95	$69.00	$32.40
17110 Destruction of up to 14 skin growths	86	70	$175.00	$108.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	36	$40.00	$24.54
17004 Destruction of precancer skin growth, 15 or more growths	41	39	$470.00	$149.67
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	38	36	$320.00	$189.77
69100 Biopsy of ear	37	31	$170.00	$76.24
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	19	$270.00	$146.37
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	18	$450.00	$294.26
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$140.00	$74.21
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$290.00	$178.18
88304 Pathology examination of tissue using a microscope, moderately low complexity	12	12	$115.00	$36.30
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	11	$280.00	$154.75

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD00044588

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7095656 (WA)

Medicaid State Provider ID

8422511 (WA)

Commercial Insurance / Payer ID L&i

0236932 (WA)

Commercial Insurance / Payer ID L&i

53030 GROUP (WA)

Commercial Insurance / Payer ID Rr Medicare

P00642708

Commercial Insurance / Payer ID Rr Med

CS6844 GROUP

Practice Associates & Co-Workers

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

6 Associated Practitioners

Marina Dolmatova , ARNP

Nurse Practitioner - Family

NPI 1043865421

Advanced Registered Nurse Practitioner

Dr. Mark Crowe , MD

Dermatology - Procedural Dermatology

NPI 1215938808

Doctor of Medicine (M.D.)

Aaron Rasmussen , PA

Physician Assistant - Medical

NPI 1316258767

Physician Assistant

Dr. Dan Wiklund , MD

Dermatology - Procedural Dermatology

NPI 1386645976

Doctor of Medicine (M.D.)

Dr. Jeffrey Newman , MD, PhD

Dermatology - Procedural Dermatology

NPI 1528032919

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Jason Meeker , MD

Dermatology

NPI 1871835322

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 28, 2010

Registered at 929 E MAIN AVE, STE 210, PUYALLUP, WA 983723116 (Tel: 2538412453)

📍

Updated Business Mailing Address January 28, 2010

Registered at 929 E MAIN AVE, STE 210, PUYALLUP, WA 983723116 (Tel: 2538412453)

👤

Provider Name / Credentials Updated January 28, 2010

Recorded as THOMAS VAUGHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2010

Dermatology (License #MD00044588 in WA)

🟢

Initial NPI Registration & Enumeration August 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922017235

Entity Type:

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

Enumeration Date: August 05, 2006

Last Update: January 28, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

929 E Main Ave, Ste 210

Puyallup, WA 983723116

Phone: 2538412453

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.