Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gary Jesse Vaughn, MD

Individual provider Family Medicine Physician · NPI 1972546604

Dr. Gary Jesse Vaughn, MD is a Hospice/Palliative Care in Gallup, New Mexico. Graduated from Icahn School of Medicine at Mount Sinai in 2003, 23 years ago. Practices with Dhhs, Phs, Naihs, Gallup Indian Medical Center, a 181-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
23
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301
Phone: (505) 722-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X · Licence M-9151 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence M9151 (ID)

Record details

NPI number1972546604
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESJuly 23, 2018
Mailing address516 E Nizhoni Blvd, Gallup, NM 87301-5748

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPICE/PALLIATIVE CARE
Also practisesFAMILY PRACTICE, PATHOLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2003 (23 years in practice)
Group practice Dhhs,Phs,Naihs, Gallup Indian Medical Center — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gallup