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Jason M. Vaughn, PT

NPI 1376864256ActiveIndividual· Physical Therapist, Orthopedic· Lake Oswego, OR

Physical Therapist, Orthopedic (PT) with Shellman Inc PA, practicing in Lake Oswego, Oregon. Medicare paid $51,406 for services to 124 patients in 2024.

Overview

NPI1376864256
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedJun 15, 2010
Last updated in NPPESMar 10, 2021
Certified by providerMar 10, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist, Orthopedic Primary2251X0800X6244OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (ID)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients124
Services billed2,342 across 9 procedure codes
Paid by Medicare$51,406

Medicare sources and data years

Education and affiliations

Graduation year2010
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

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