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KELLY M MCLAUGHLIN R.P.A.C.
NPI 1063451854
Physician Assistant in Binghamton, NY

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
169 RIVERSIDE DRIVE, BINGHAMTON, NY 13905(607) 798-5111(607) 563-2663 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2021, Apr 9, 2020 (2 updates tracked since 2020).

About Kelly M Mclaughlin R.p.a.c. NPPES

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

KELLY M MCLAUGHLIN R.P.A.C. (NPI 1063451854) is an individual physician assistant in Binghamton, New York, licensed in New York (008397) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1063451854
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY M MCLAUGHLINCredential: R.P.A.C.
Location Address169 RIVERSIDE DRIVEBinghamton, NY 13905
Mailing Address169 Riverside DriveBinghamton, NY 13905 · (607) 798-5111 · Fax (607) 563-2663
Phone(607) 798-5111
Fax(607) 563-2663
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 6, 2006
Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1063451854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 008397
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
169 RIVERSIDE DRIVE, Binghamton, NY 13905
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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

Kelly M Mclaughlin R.p.a.c. 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 ID2567488372
PECOS Enrollment IDI20051020000998
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
240 services225 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

Other Providers at the Same Location NPPES 13

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

ROBERT LUNN DO
Anesthesiology
169 RIVERSIDE DRIVE, OUR LADY OF LOURDES HOSPITAL
BINGHAMTON, NY 13905
Broome County (607) 798-5111
DEBORAH D CLARHAUT CRNA
Nurse Anesthetist, Certified Registered
169 RIVERSIDE DRIVE
BINGHAMTON, NY 13905
Broome County (160) 772-2726
MATIN MOGHADDAS DO
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DRIVE
BINGHAMTON, NY 13905
Broome County (607) 798-5111
ADRIENNE RAE ROPECKA
Nurse Anesthetist, Certified Registered
169 RIVERSIDE DRIVE, LOURDES HOSPITAL
BINGHAMTON, NY 13905
Broome County (607) 722-7264
DR. MATHEW ROGIN ITTEERA MD
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DRIVE, GME OFFICES
BINGHAMTON, NY 13905
Broome County (607) 722-2769
RAYFORD A PETROSKI MD
Urology
169 RIVERSIDE DRIVE, DEPAUL PAVILION
BINGHAMTON, NY 13905
Broome County (607) 729-7667
DR. KEVIN SCOTT LANDAU MD
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DRIVE
BINGHAMTON, NY 13905
Broome County (607) 798-5111
MARIA C. BERRY FNP
Nurse Practitioner (Family)
169 RIVERSIDE DRIVE, LOURDES HOSPTIAL
BINGHAMTON, NY 13905
Broome County (607) 798-5231

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 Kelly Mclaughlin's NPI number?

The NPI number for Kelly Mclaughlin is 1063451854. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Kelly Mclaughlin located?

Kelly Mclaughlin practices at 169 Riverside Drive, Binghamton, NY 13905. The listed phone number is (607) 798-5111.

What is Kelly Mclaughlin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Mclaughlin enrolled in Medicare?

Yes. Kelly Mclaughlin 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 Kelly Mclaughlin affiliated with any hospitals?

According to CMS data, Kelly Mclaughlin is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Kelly Mclaughlin was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.