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DOUGLAS JAMES MCLAUGHLIN MD
NPI 1063404499
Pediatrics in Columbus, OH

Active since August 22, 2005PECOS Enrolled
1125 E MAIN ST, COLUMBUS, OH 43205(614) 722-6200 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2026, Dec 29, 2025, Nov 19, 2024 and 5 more (8 updates tracked since 2016).

About Douglas James Mclaughlin Md NPPES

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

DOUGLAS JAMES MCLAUGHLIN MD (NPI 1063404499) is an individual pediatrics provider in Columbus, Ohio, licensed in Ohio (35079381) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains 17 additional practice locations.

NPPES Registry Identity

NPI1063404499
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDOUGLAS JAMES MCLAUGHLINCredential: MD
Location Address1125 E MAIN STColumbus, OH 43205-1931
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-6200 · Fax (614) 722-5176
Phone(614) 722-6200
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateMarch 12, 20268 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1063404499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35079381
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1125 E MAIN ST, Columbus, OH 43205
Open in Google Maps ↗

Secondary Practice Locations 17

Location 11777 E Dublin Granville RdColumbus, OH 43229-3502 · Phone (614) 722-6200
Location 21405 S High StColumbus, OH 43207-1043 · Phone (614) 722-6200
Location 3433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 355-8310
Location 4441 Industrial Mile RdColumbus, OH 43228-2458 · Phone (614) 722-6200
Location 5561 S Yearling RdColumbus, OH 43213-2894 · Phone (614) 722-6200
Location 64560 Morse Centre RdColumbus, OH 43229-6602 · Phone (614) 722-6200
Location 75070 N High StColumbus, OH 43214-1526 · Phone (614) 722-6200
Location 81390 Cleveland AveColumbus, OH 43211-2767 · Phone (614) 722-6200
Location 94766 W Broad StColumbus, OH 43228-1613 · Phone (614) 722-6200
Location 1026 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2000
Location 11882 S Hamilton RdColumbus, OH 43213-3003 · Phone (614) 722-2000
Location 121657 Georgesville Square DrColumbus, OH 43228-3689 · Phone (614) 722-2000
Location 133553 Cleveland AveColumbus, OH 43224-2909 · Phone (614) 722-2000
Location 142857 W Broad StColumbus, OH 43204-2643 · Phone (614) 722-6200
Location 152599 S Hamilton RdColumbus, OH 43232-4964 · Phone (614) 722-6200
Location 16700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-4950 · Fax (614) 722-4966
Location 17380 Butterfly Gardens DrColumbus, OH 43215-7508 · Phone (614) 722-6200

Other Identifiers 1

Medicaid2441103OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas James Mclaughlin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Douglas Mclaughlin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nationwide Children's Hospital
0.6 mi
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055
Pediatric Academic Association, Inc.
0.6 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43205 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 3

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

FIRST CHOICE HOME HEALTH SERVICES, LLC
Home Health
1125 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 914-8602
MRS. LISA VU STONE DO
Pediatrics
1125 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 722-6200
ALEXANDRA JANE WENIG MD
Pediatrics
1125 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 722-6200

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 Douglas Mclaughlin's NPI number?

The NPI number for Douglas Mclaughlin is 1063404499. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Douglas Mclaughlin located?

Douglas Mclaughlin practices at 1125 E Main St, Columbus, OH 43205. The listed phone number is (614) 722-6200.

What is Douglas Mclaughlin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Douglas Mclaughlin enrolled in Medicare?

Yes. Douglas Mclaughlin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Mclaughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Mclaughlin reassigns Medicare benefits to 2 organizations: Nationwide Children's Hospital (Columbus, OH) and Pediatric Academic Association, Inc. (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Mclaughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Mclaughlin accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and UnitedHealthcare list Douglas Mclaughlin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Mclaughlin was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.