Loy Vaughan
Orthopaedic Surgery Physician · Pelham, AL
Loy Vaughan is an orthopaedic surgery physician with a practice address in Pelham, Alabama, and NPI 1639532146, issued on Apr 1, 2016. Check the license (Alabama MD.42663, as entered in NPPES) on the Alabama Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Loy Vaughan
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- MD.42663 AL
Self-reported in NPPES; status is on the state search - Practice location
- 120 Cahaba Valley Pkwy Ste 100, Pelham, AL 35124
- Phone
- (205) 909-2515
- Enumerated
- Apr 1, 2016
- Record last updated
- Jun 21, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20210629001642); accepts Medicare assignment
- Medical or professional school
- University Of Alabama School Of Medicine, 2012
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 340 in Alabama → Look up another NPI →
Also registered at 120 Cahaba Valley Pkwy Ste 100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Samuel Carstensen, M.D.Orthopaedic Surgery Physician1679990592
- Davis Rogers, MDOrthopaedic Hand Surgery Physician1578007043
- Mary Scalisi, OTR/LOccupational Therapist1982099339
- Danielle StricklandNurse Practitioner1528662160
Verify Loy Vaughan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersAlabama Board of Medical Examiners
Search for license MD.42663Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
32% more Medicare Part D claims than the average orthopaedic surgery physician in 2024
456 Medicare Part D claims for 159 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 2% of claims. 102 claims were for opioids.
Most prescribed
- Celecoxib108 claims
- Naproxen56 claims
- Hydrocodone-Acetaminophen48 claims
- Methocarbamol33 claims
- Pregabalin28 claims
- Tramadol Hcl26 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 72.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $64.62
3 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Alabama Bone And Joint Clinic,llcPelham, AL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Loy Vaughan among 340 orthopaedic surgery physician records in Alabama
Loy Vaughan is one of 340 orthopaedic surgery physician records with a practice address in Alabama. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 84% of them.
- NPI issued2016 · 84% of these records are older, 14% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2012 · median 2002 among the 230 with a school on file
- Record last updated2021 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Alabama practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
5 orthopaedic surgery physician records list a practice address in Pelham
They are 5 of the 533 NPPES records with a practice address in Pelham, and 340 orthopaedic surgery physician records in Alabama.
All 340 in Alabama → Every provider in Pelham → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Samuel Carstensen, M.D.Pelham, AL 351241679990592
- Daryl Dykes, MDPelham, AL 351241023086022
- Michael Gerhardt, MDPelham, AL 351241578543625
- Lloyd Johnson, MDPelham, AL 351241477514180
- Edward Bromberg, MDGardendale, AL 350711619086444
- Vincent Bergquist, MDCullman, AL 350581174595912
- David Dueland, MDCullman, AL 350581801838032
- Ben Gomez, MDCullman, AL 350581578505426
Common questions
What is Loy Vaughan's NPI number?
Loy Vaughan's National Provider Identifier (NPI) is 1639532146, issued on Apr 1, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Loy Vaughan located?
The NPPES record lists a practice address at 120 Cahaba Valley Pkwy Ste 100, Pelham, AL, 35124. Phone: (205) 909-2515. Providers update this record themselves, so call before visiting.
How can I verify Loy Vaughan's license?
NPPES lists Alabama license number MD.42663, as entered by the provider. Search the Alabama Board of Medical Examiners at https://www.albme.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Loy Vaughan prescribe under Medicare Part D?
In 2024, Loy Vaughan had 456 Medicare Part D claims for 159 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Loy Vaughan's MIPS final score?
The 2023 MIPS final score is 72.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.