Physician

Albert Russell Vaughn, MD

According to 2025 Medicare claims, Albert Vaughn, MD (NPI: 1689084865) practices pediatric medicine in the Morristown, TN market, with the plurality of this provider's patient population coming from Jefferson, TN. This provider's primary affiliated billing organization is SUMMIT MEDICAL GROUP, PLLC (NPI: 1548349186; TIN: 621585063) and primary practice location at 37760-2901. Vaughn is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290) and Humana Direct Contracting Entity, Inc. (ACO ID: D0203), participating under both the MSSP and REACH models.

Vaughn's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 328 traditional Medicare patients, billed 6,545 HCPCS/CPT codes, and received $181,809 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 8,702 prescription claims across 633 beneficiaries totaling $826,558 in drug costs, led by Eliquis (Apixaban). DME data shows 123 claims. Open Payments data shows 31 records totaling $567. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $25,195 to $181,809. Similarly, Part D prescription costs have moved sharply higher in recent years, from $6,800 to $826,558. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $3,185 to $10,032.