1. Home
  2. Directory
  3. Ohio
  4. Cincinnati
  5. Hospitalist
  6. NPI Profile

MICHAEL C LAUGLE MD
NPI 1174893655
Hospitalist in Cincinnati, OH

Active since December 30, 2011PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10500 MONTGOMERY RD, CINCINNATI, OH 45242(513) 865-2246(513) 865-5596 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2019, May 25, 2017 (2 updates tracked since 2017).

About Michael C Laugle Md NPPES

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

MICHAEL C LAUGLE MD (NPI 1174893655) is an individual hospitalist provider in Cincinnati, Ohio, licensed in Ohio (35.121166) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2011).

NPPES Registry Identity

NPI1174893655
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMICHAEL C LAUGLECredential: MD
Location Address10500 MONTGOMERY RDCincinnati, OH 45242
Mailing Address10500 Montgomery RdCincinnati, OH 45242-4402 · (513) 865-2246 · Fax (513) 865-5596
Phone(513) 865-2246
Fax(513) 865-5596
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2011
Enumeration DateDecember 30, 2011
Last NPPES UpdateMay 23, 20192 updates tracked since enumeration
✔ NPI 1174893655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.121166
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.121166 (OH)
10500 MONTGOMERY RD, Cincinnati, OH 45242
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Michael C Laugle 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 ID1052541828
PECOS Enrollment IDI20140224001618
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
367 services147 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.
104 services59 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
103 services103 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
72 services70 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

DRAKE A SECCURRO MD
Hospitalist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-2246
GREGORIO MICELI DPM
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1111
BENJAMIN BETHAY
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1111
SMITH BEARELLY MD
Hospitalist
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 865-2246
VICTOR KOMLA DOE
Pharmacist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1184
REGENCY HOSPITAL OF CINCINNATI, LLC
Internal Medicine
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (717) 972-1100
SYED SHAD MAHMOOD
Internal Medicine (Critical Care Medicine)
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-2246
DAVID A. FENWICK P.A.-C
Physician Assistant
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (514) 865-1111

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 Michael Laugle's NPI number?

The NPI number for Michael Laugle is 1174893655. It was assigned to this individual provider in the NPPES registry on December 30, 2011.

Where is Michael Laugle located?

Michael Laugle practices at 10500 Montgomery Rd, Cincinnati, OH 45242. The listed phone number is (513) 865-2246.

What is Michael Laugle's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Michael Laugle enrolled in Medicare?

Yes. Michael Laugle 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 Michael Laugle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Michael Laugle 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 Michael Laugle affiliated with any hospitals?

According to CMS data, Michael Laugle is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Michael Laugle was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.