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SEAN O'LAUGHLIN
NPI 1235505439
Nurse Practitioner - Family in Midlothian, VA

Active since August 11, 2015PECOS EnrolledAccepts Medicare Assignment
601 WATKINS CENTRE PKWY, MIDLOTHIAN, VA 23114(804) 325-8750 Get Directions Write a Review

NPPES record last updated: December 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sean O'laughlin NPPES

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

SEAN O'LAUGHLIN (NPI 1235505439) is an individual family provider in Midlothian, Virginia, licensed in Virginia (0024172833) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1235505439
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSEAN O'LAUGHLIN
Location Address601 WATKINS CENTRE PKWYMidlothian, VA 23114-0002
Mailing Address601 Watkins Centre PkwyMidlothian, VA 23114-0002
Phone(804) 325-8750
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 11, 2015
Last NPPES UpdateDecember 27, 2015
✔ NPI 1235505439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024172833
601 WATKINS CENTRE PKWY, Midlothian, VA 23114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean O'laughlin 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 ID9032417183
PECOS Enrollment IDI20160406000976
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sean O'laughlin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bon Secours St. Francis Medical Center Inc
0.1 mi
Surgery
601 WATKINS CENTRE PKWY STE 200
Midlothian, VA 23114
  • Reassigned Medicare billing, Virginia enrollment
  • 61 clinicians in this Medicare group
NPI 1427293133 (804) 594-3130
Bon Secours St Mary's Hospital Of Richmond LLC
7.4 mi
Internal Medicine
9220 FOREST HILL AVE, SUITE 1-A
Richmond, VA 23235
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Bon Secours St Marys Hospital Of Richmond LLC
  • 164 clinicians in this Medicare group
NPI 1265719504 (804) 560-8838
Bon Secours Medical Group Richmond Specialty Care LLC
17 mi
Cardiovascular Disease
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 581 clinicians in this Medicare group
NPI 1477112225 (804) 627-5573

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
6,555 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
213 services153 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.
182 services139 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
38 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients

Hospital Affiliations CMS Care Compare 4

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23114 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
20%206 patients1/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 67% · 27 patients
71%34 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%391 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%368 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
34%146 patients2/55-star benchmark: 98%
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.

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.

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,415 services$0.27 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 3

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

MRS. IDA TRICE VACLAVIK NP
Nurse Practitioner (Family)
601 WATKINS CENTRE PKWY, SUITE 200
MIDLOTHIAN, VA 23114
Chesterfield County (804) 594-3130
MISTI H WILSON M.D.
Surgery
601 WATKINS CENTRE PKWY, SUITE 200
MIDLOTHIAN, VA 23114
Chesterfield County (804) 594-3130
DR. ERIC FLORANDA
Psychiatry & Neurology (Neuromuscular Medicine)
601 WATKINS CENTRE PKWY, SUITE 250
MIDLOTHIAN, VA 23114
Chesterfield County (804) 325-8750

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 Sean O'laughlin's NPI number?

The NPI number for Sean O'laughlin is 1235505439. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Sean O'laughlin located?

Sean O'laughlin practices at 601 Watkins Centre Pkwy, Midlothian, VA 23114. The listed phone number is (804) 325-8750.

What is Sean O'laughlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sean O'laughlin enrolled in Medicare?

Yes. Sean O'laughlin 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.

Which organizations bill Medicare for Sean O'laughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean O'laughlin reassigns Medicare benefits to 3 organizations: Bon Secours St. Francis Medical Center Inc (Midlothian, VA), Bon Secours St Mary's Hospital Of Richmond LLC (Richmond, VA) and Bon Secours Medical Group Richmond Specialty Care LLC (Richmond, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean O'laughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean O'laughlin accept?

Health plans from Oscar Health list Sean O'laughlin 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 Sean O'laughlin affiliated with any hospitals?

According to CMS data, Sean O'laughlin is affiliated with Bon Secours St Marys Hospital, Bon Secours Southside Medical Center, Bon Secours Memorial Regional Medical Center and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Sean O'laughlin was last updated on December 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.