Loy Vaughan, - Medicare Orthopedic Surgery in Pelham, AL

Loy Vaughan, is a medicare enrolled "Orthopaedic Surgery" physician in Pelham, Alabama. He went to University Of Alabama School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Alabama Bone And Joint Clinic,llc and his current practice location is 120 Cahaba Valley Pkwy Ste 100, Pelham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 909-2515.

Loy Vaughan is licensed to practice in Alabama (license number MD.42663) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639532146.

Contact Information

Loy Vaughan,
120 Cahaba Valley Pkwy Ste 100,
Pelham, AL 35124-1187
(205) 909-2515
Not Available

Map and Direction




Physician's Profile

Full NameLoy Vaughan
GenderMale
SpecialityOrthopedic Surgery
Experience12 Years
Location120 Cahaba Valley Pkwy Ste 100, Pelham, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Loy Vaughan attended and graduated from University Of Alabama School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1639532146
  • Provider Enumeration Date: 04/01/2016
  • Last Update Date: 06/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092000281
  • Enrollment ID: I20210629001642

Medical Identifiers

Medical identifiers for Loy Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639532146NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD.42663 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Shelby Baptist Medical CenterAlabaster, ALHospital
Bibb Medical CenterCentreville, ALHospital
St Vincent's ChiltonClanton, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alabama Bone And Joint Clinic,llc36787577399

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Loy Vaughan allows following entities to bill medicare on his behalf.
Entity NameAlabama Bone & Joint Clinic,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780980540
PECOS PAC ID: 3678757739
Enrollment ID: O20110414000155

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Loy Vaughan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Loy Vaughan,
120 Cahaba Valley Pkwy Ste 100,
Pelham, AL 35124-1187

Ph: (205) 909-2515
Loy Vaughan,
120 Cahaba Valley Pkwy Ste 100,
Pelham, AL 35124-1187

Ph: (205) 909-2515

Reviews and Comments


Orthopaedic Surgery Doctors in Pelham, AL

Daryl Glenn Dykes, MD
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Practice Location: 120 Cahaba Valley Parkway, Suite 100, Pelham, AL 35124
Phone: 205-621-3778    Fax: 205-621-4835
Lloyd Johnson Iii, MD
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Practice Location: 120 Cahaba Valley Parkway, Ste 100, Pelham, AL 35124
Phone: 205-621-3778    Fax: 205-621-4835
Michael C Gerhardt, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 120 Cahaba Valley Parkway, Suite 100, Pelham, AL 35124
Phone: 205-621-3778    Fax: 205-621-4835
Dr. Samuel Evan Carstensen, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 120 Cahaba Valley Pkwy Ste 100, Pelham, AL 35124
Phone: 205-621-3778    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.