DR. TERRANCE DAVID MCLAUGHLIN M.D.
NPI 1184657033
Hospitalist in Fridley, MN

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
550 OSBORNE RD NE, FRIDLEY, MN 55432(763) 236-5000(763) 236-3524 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Terrance David Mclaughlin M.d. NPPES

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

DR. TERRANCE DAVID MCLAUGHLIN M.D. (NPI 1184657033) is an individual hospitalist provider in Fridley, Minnesota, licensed in Minnesota (34413) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and is a graduate of University Of Minnesota Medical School (1987).

NPPES Registry Identity

NPI1184657033
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. TERRANCE DAVID MCLAUGHLINCredential: M.D.
Location Address550 OSBORNE RD NEFridley, MN 55432-2718
Mailing Address6401 University Ave NeFridley, MN 55432-4341 · (763) 572-5710 · Fax (763) 571-3008
Fax(763) 236-3524
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1987
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
NPI 1184657033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MN · 34413
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.
550 OSBORNE RD NE, Fridley, MN 55432

Other Identifiers 8

OtherHP19926MN · Healthpartners
Other21967MN · America's Ppo
Medicaid164708300MN
Other4134986MN · Aetna Ins
Other4T078MCMN · Bcbs Of Mn
Other0422307MN · Medica #
Other1000849MN · Preferred One
Other107310MN · Ucare Mn#

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

Dr. Terrance David Mclaughlin M.d. 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 ID2365464682
PECOS Enrollment IDI20051229000426
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 9

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.
199 services99 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.
179 services95 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
56 services52 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.
42 services41 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
27 services27 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.
19 services13 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers16 claims16 services$64.49 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 20

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

Occupational Therapist
550 OSBORNE RD NE
FRIDLEY, MN 55432
Internal Medicine
550 OSBORNE RD NE
FRIDLEY, MN 55432
Pharmacy (Specialty Pharmacy)
550 OSBORNE RD NE
FRIDLEY, MN 55432
Physician Assistant (Medical)
550 OSBORNE RD NE
FRIDLEY, MN 55432
Pharmacy (Community/Retail Pharmacy)
550 OSBORNE RD NE
FRIDLEY, MN 55432
Nurse Practitioner
550 OSBORNE RD NE
FRIDLEY, MN 55432
General Acute Care Hospital
550 OSBORNE RD NE
FRIDLEY, MN 55432
Internal Medicine
550 OSBORNE RD NE, RT. 52840
FRIDLEY, MN 55432

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 Terrance Mclaughlin's NPI number?

The NPI number for Terrance Mclaughlin is 1184657033. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Terrance Mclaughlin located?

Terrance Mclaughlin practices at 550 Osborne Rd NE, Fridley, MN 55432. The listed phone number is (763) 236-5000.

What is Terrance Mclaughlin's specialty?

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

Is Terrance Mclaughlin enrolled in Medicare?

Yes. Terrance 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 Terrance Mclaughlin accept?

Health plans from Medica list Terrance 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 Terrance Mclaughlin affiliated with any hospitals?

According to CMS data, Terrance Mclaughlin is affiliated with Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Terrance Mclaughlin was last updated on March 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.