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DR. JUDITH MCLOUGHLIN MD
NPI 1013995190
Internal Medicine - Nephrology in Staten Island, NY

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
52.54/100
CMS Quality Rating
1366 VICTORY BLVD, STATEN ISLAND, NY 10301(718) 273-3400(718) 727-3402 Get Directions Write a Review

NPPES record last updated: February 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Judith Mcloughlin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUDITH MCLOUGHLIN MD (NPI 1013995190) is an individual nephrology provider in Staten Island, New York, licensed in New York (190100) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1013995190
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JUDITH MCLOUGHLINCredential: MD
Location Address1366 VICTORY BLVDStaten Island, NY 10301-3907
Mailing Address1366 Victory BlvdStaten Island, NY 10301-3907 · (718) 273-3400 · Fax (718) 727-3402
Phone(718) 273-3400
Fax(718) 727-3402
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 9, 2006
Last NPPES UpdateFebruary 8, 2008
✔ NPI 1013995190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 190100
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1366 VICTORY BLVD, Staten Island, NY 10301
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Other Identifiers 3

Medicaid01663510NY
Medicare UPING31181
Medicare ID-Type Unspecified13N131NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Judith Mcloughlin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294922902
PECOS Enrollment IDI20101207001050
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
195 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
80 services46 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
13 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

52.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.98
Improvement Activities0
Cost65.41

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%459 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%187 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier15 claims1,560 services$6.22 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier20 claims21 services$911.30 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims2,040 services$0.27 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims1,800 services$0.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers22 claims22 services$17.21 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers21 claims22 services$10.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMALA R SWAMY, MD, PC
Internal Medicine (Cardiovascular Disease)
1366 VICTORY BLVD, SUITE B
STATEN ISLAND, NY 10301
Richmond County (718) 442-8351
DR. MEILIN ZHANG MD
Internal Medicine (Nephrology)
1366 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (718) 273-3400
DR. SAMALA RAMA SWAMY M.D.
Specialist
1366 VICTORY BLVD, SUITE B
STATEN ISLAND, NY 10301
Richmond County (718) 442-8351
DR. JAUDAT H KHAN MD
Internal Medicine (Nephrology)
1366 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (718) 273-3400
DR. BERTRAM ALPERT MD
Internal Medicine (Nephrology)
1366 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (718) 273-3400
DR. BHAVESH GALA MD
Internal Medicine (Cardiovascular Disease)
1366 VICTORY BLVD, STE B
STATEN ISLAND, NY 10301
Richmond County (718) 442-8351
DR. THOMAS JOSEPH FORLENZA MD
Internal Medicine (Hematology & Oncology)
1366 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (718) 816-4949
KNICKERBOCKER DIALYSIS INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1366 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Mcloughlin's NPI number?

The NPI number for Judith Mcloughlin is 1013995190. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Judith Mcloughlin located?

Judith Mcloughlin practices at 1366 Victory Blvd, Staten Island, NY 10301. The listed phone number is (718) 273-3400.

What is Judith Mcloughlin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Judith Mcloughlin enrolled in Medicare?

Yes. Judith Mcloughlin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Judith Mcloughlin affiliated with any hospitals?

According to CMS data, Judith Mcloughlin is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Judith Mcloughlin was last updated on February 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.