James Vaughan, M.D.
NPI 1003019860 · Anatomic Pathology & Clinical Pathology Physician · Milwaukee, WI
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Vaughan, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider in Milwaukee, WI (NPI 1003019860).
Provider details
- NPI number
- 1003019860
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 48735 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,530 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 533 | $34 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 228 | $25 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 152 | $32 |
| Flow Cytometry Technique for Dna Or Cell Analysis, 16 Or More Markers88189 | 129 | $77 |
| Special Stained Specimen Slides to Examine Tissue Including Interpretation and Report88313 | 100 | $11 |
| Bone Marrow, Smear Interpretation85097 | 85 | $44 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2019-09-17
Frequently asked questions
- What is James Vaughan's NPI number?
- James Vaughan's National Provider Identifier (NPI) is 1003019860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Vaughan's specialty?
- James Vaughan is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is James Vaughan located?
- James Vaughan's practice location on file with NPPES is 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548.
- What is James Vaughan's phone number?
- The practice phone number listed in the NPPES registry for James Vaughan is (414) 456-8296.
- Does James Vaughan accept Medicare?
- James Vaughan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Vaughan's NPI active?
- Yes — James Vaughan's NPI (1003019860) is active in the NPPES registry as of the last update on 2019-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.