MR. SCOTT MCLAUGHLIN PA-C, M.S.
NPI 1134497308
Physician Assistant in South Bend, IN

Active since December 02, 2011PECOS EnrolledAccepts Medicare Assignment
82.69/100
CMS Quality Rating
53880 CARMICHAEL DR, SOUTH BEND, IN 46635(574) 247-9441(574) 247-9442 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Nov 9, 2023, Jun 27, 2018 and 1 more (4 updates tracked since 2016).

About Mr. Scott Mclaughlin Pa-c, M.s. NPPES

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

MR. SCOTT MCLAUGHLIN PA-C, M.S. (NPI 1134497308) is an individual physician assistant in South Bend, Indiana, licensed in Indiana (10002442A) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1134497308
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SCOTT MCLAUGHLINCredential: PA-C, M.S.
Location Address53880 CARMICHAEL DRSouth Bend, IN 46635
Mailing Address3600 W Bethel AveMuncie, IN 47304-5407
Fax(574) 247-9442
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 2, 2011
Last NPPES UpdateSeptember 5, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1134497308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IN · 10002442A Licensed in MI · 5601007882
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.
Also ListedSpecialist/TechnologistTaxonomy 225500000X · License M242760115480 (MI)
53880 CARMICHAEL DR, South Bend, IN 46635

Secondary Practice Locations 3

Location 160160 Bodnar BlvdMishawaka, IN 46544-9338 · Phone (574) 247-9441
Location 22349 Lake Ave Ste 201Plymouth, IN 46563-7837 · Phone (574) 247-9441
Location 3303 S Nappanee St Ste FElkhart, IN 46514-2066 · Phone (574) 247-9441

Accepted Insurance

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

Mr. Scott Mclaughlin Pa-c, M.s. 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 ID6103106497
PECOS Enrollment IDI20180430001956
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 15

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
509 services88 patients
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.
152 services90 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
141 services97 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.
130 services95 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
96 services78 patients
Shaving of part of shoulder bone and repair of ligament using an endoscope 29826
This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.
53 services52 patients

Hospital Affiliations CMS Care Compare 5

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

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Unity Physicians Hospital

Acute Care Hospitals · Mishawaka, IN
OwnershipPhysician
CMS Certification Number150177
Location4455 Edison Lakes PkwyMishawaka, IN 46545 · St. Joseph County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46635 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

82.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.35
Promoting Interoperability93
Improvement Activities40

Reported Quality Measures

Advance Care Plan
81%268 patients4/55-star benchmark: 100%
Breast Cancer Screening
22%222 patients1/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
63%513 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
53%496 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
95%1,616 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
80%259 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 84% · 815 patients
Patients screened: 88% · 815 patients
59%69 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
75%167 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%30 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 276 patients
Patients totalRate: 4% · 276 patients
1%276 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.

Other Providers at the Same Location NPPES 20

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

Physical Therapy Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physical Therapist
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physician Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physical Therapist
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physician Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635

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 Scott Mclaughlin's NPI number?

The NPI number for Scott Mclaughlin is 1134497308. It was assigned to this individual provider in the NPPES registry on December 2, 2011.

Where is Scott Mclaughlin located?

Scott Mclaughlin practices at 53880 Carmichael Dr, South Bend, IN 46635. The listed phone number is (574) 247-9441.

What is Scott Mclaughlin's specialty?

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

Is Scott Mclaughlin enrolled in Medicare?

Yes. Scott 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.

What insurance does Scott Mclaughlin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and McLaren Health Plan Community list Scott 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.

Is Scott Mclaughlin affiliated with any hospitals?

According to CMS data, Scott Mclaughlin is affiliated with Northwest Health-La Porte, Saint Joseph Regional Medical Center, Franciscan Health Michigan City, Memorial Hospital Of South Bend and Unity Physicians Hospital.

When was this NPI record last updated?

The NPPES record for Scott Mclaughlin was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.