MR. PETER MCLAUGHLIN IV FNP
NPI 1255996781
Nurse Practitioner - Family in Augusta, GA

Active since May 09, 2019PECOS EnrolledAccepts Medicare Assignment
1350 WALTON WAY, AUGUSTA, GA 30901(706) 774-5795 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Peter Mclaughlin Iv Fnp NPPES

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

MR. PETER MCLAUGHLIN IV FNP (NPI 1255996781) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN174325) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1255996781
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. PETER MCLAUGHLIN IVCredential: FNP
Location Address1350 WALTON WAYAugusta, GA 30901-3554
Mailing Address7606 Winfield RdAppling, GA 30802-2619 · (843) 798-2755
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 9, 2019
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
NPI 1255996781 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
Licenses Licensed in GA · RN174325 Licensed in SC · 22830
1350 WALTON WAY, Augusta, GA 30901

Secondary Practice Location 1

Location 110 Enterprise Blvd Ste 202Greenville, SC 29615-3554 · Phone (864) 608-8847

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. Peter Mclaughlin Iv Fnp 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 ID3678801974
PECOS Enrollment IDI20220413000988
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 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.

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.
101 services99 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
66 services65 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.
58 services40 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
22 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier41 claims41 services$32.63 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$38.54 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier151 claims151 services$21.80 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier21 claims21 services$5.86 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 19

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

Anesthesiology
1350 WALTON WAY
AUGUSTA, GA 30901
Emergency Medicine
1350 WALTON WAY
AUGUSTA, GA 30901
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Pediatrics (Neonatal-Perinatal Medicine)
1350 WALTON WAY, NEWBORN SERVICES
AUGUSTA, GA 30901
Pediatrics (Neonatal-Perinatal Medicine)
1350 WALTON WAY, NICU UNIVERSITY HOSPITAL
AUGUSTA, GA 30901
Anesthesiology
1350 WALTON WAY
AUGUSTA, GA 30901
Anesthesiology
1350 WALTON WAY
AUGUSTA, GA 30901
Pediatrics
1350 WALTON WAY, EMERGENCY DEPT UNIVERSITY HOSPITAL
AUGUSTA, GA 30901

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 Peter Mclaughlin's NPI number?

The NPI number for Peter Mclaughlin is 1255996781. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Where is Peter Mclaughlin located?

Peter Mclaughlin practices at 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 774-5795.

What is Peter Mclaughlin's specialty?

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

Is Peter Mclaughlin enrolled in Medicare?

Yes. Peter 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.

Is Peter Mclaughlin affiliated with any hospitals?

According to CMS data, Peter Mclaughlin is affiliated with Piedmont Augusta Hospital.

When was this NPI record last updated?

The NPPES record for Peter Mclaughlin was last updated on May 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.