TIMOTHY E. MCLAUGHLIN M.D.
NPI 1043230113
Family Medicine in Charlottesville, VA

Q: What is Timothy Mclaughlin's NPI number?

The NPI number for Timothy Mclaughlin is 1043230113. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Timothy Mclaughlin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Timothy Mclaughlin enrolled in Medicare?

No. Timothy Mclaughlin has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since July 20, 2006Opted out of Medicare · through Jan 1, 2028

375 FOUR LEAF LN STE 103, CHARLOTTESVILLE, VA 22903(434) 243-0700(434) 244-0680 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Timothy E. Mclaughlin M.d. NPPES

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

TIMOTHY E. MCLAUGHLIN M.D. (NPI 1043230113) is an individual family medicine provider in Charlottesville, Virginia, licensed in Virginia (0101236281) and active in the NPI registry since July 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043230113

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTIMOTHY E. MCLAUGHLINCredential: M.D.

Location Address375 FOUR LEAF LN STE 103Charlottesville, VA 22903-6905

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(434) 243-0700

Fax(434) 244-0680

Sole ProprietorNo

Enumeration DateJuly 20, 2006

Last NPPES UpdateJuly 9, 2019

✔ NPI 1043230113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101236281

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

375 FOUR LEAF LN STE 103, Charlottesville, VA 22903

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Other Identifiers 1

Medicaid010083729VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Timothy E. Mclaughlin M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2020 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2020

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

1 supplier11 claims11 services$46.16 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier12 claims61 services$1.69 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 12

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

NICHOLAS KIDD MD

Family Medicine