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

Matthew Vaughn, DO

Individual provider Family Medicine Physician · NPI 1629719752

Matthew Vaughn, DO is a Family Practice in Maplewood, Minnesota. Qualified in 2022, 4 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2165 White Bear Ave N
Maplewood, MN 55109-2707
Phone: (651) 523-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7900 Lees Summit Rd, Kansas City, MO 64139-1236 — (816) 404-4862

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 80119 (MN)

Record details

NPI number1629719752
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address7900 Lees Summit Rd, Kansas City, MO 64139-1236

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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