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TONI MCLAURIN M.D.
NPI 1215923636
Orthopaedic Surgery in New York, NY

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
303 2ND AVENUE, SUITE 21, NEW YORK, NY 10016(212) 598-6573 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Toni Mclaurin M.d. NPPES

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

TONI MCLAURIN M.D. (NPI 1215923636) is an individual orthopaedic surgery provider in New York, New York, licensed in New York (226976) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Bellevue Hospital Center, and is a graduate of University Of Michigan Medical School (1991).

NPPES Registry Identity

NPI1215923636
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameTONI MCLAURINCredential: M.D.
Location Address303 2ND AVENUE, SUITE 21New York, NY 10016
Mailing Address303 2nd Avenue, Suite 21New York, NY 10016 · (212) 598-6573
Phone(212) 598-6573
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1991
Enumeration DateSeptember 21, 2005
Last NPPES UpdateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
✔ NPI 1215923636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 226976
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
303 2ND AVENUE, New York, NY 10016
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Other Identifiers 1

Medicaid02415149NY

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

Toni Mclaurin 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 ID2567411770
PECOS Enrollment IDI20050114000215
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.
33 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Bellevue Hospital Center

Acute Care Hospitals · New York, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330204
Location462 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.67 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

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

YOUNG KWON M.D., PH.D
Orthopaedic Surgery
303 2ND AVENUE, SUITE 21
NEW YORK, NY 10016
New York County (212) 598-6573

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 Toni Mclaurin's NPI number?

The NPI number for Toni Mclaurin is 1215923636. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Toni Mclaurin located?

Toni Mclaurin practices at 303 2nd Avenue Suite 21, New York, NY 10016. The listed phone number is (212) 598-6573.

What is Toni Mclaurin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Toni Mclaurin enrolled in Medicare?

Yes. Toni Mclaurin 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 Toni Mclaurin affiliated with any hospitals?

According to CMS data, Toni Mclaurin is affiliated with Bellevue Hospital Center and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Toni Mclaurin was last updated on February 24, 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.