William Shane Vaughn, D.M.D.
NPI 1467835074ActiveIndividual· Dentist· Melbourne, FL
Opted out of Medicare from September 2016 to September 2028. Dentist (D.M.D.) in Melbourne, Florida, licensed in FL and KY, with an NPI issued in June 2015. Part D covered 104 prescriptions written in 2024, 94% of them generic.
Overview
| NPI | 1467835074 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 30, 2015 |
| Last updated in NPPES | Sep 2, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 22193 | FL |
| Dentist | 122300000X | 9626 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Sep 13, 2016 – Sep 13, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 104 · 104 30-day fills |
|---|---|
| Patients | 46 |
| Total drug cost | $323.61 |
| Generic share | 94% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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