DR. TERESE J LAUGHLIN DPM
NPI 1265474118
Podiatrist - Foot & Ankle Surgery in Jacksonville, IL

Q: What is Terese Laughlin's NPI number?

The NPI number for Terese Laughlin is 1265474118. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Terese Laughlin's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Terese Laughlin was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

94.61/100

CMS Quality Rating

1515 W WALNUT ST, SUITE 12, JACKSONVILLE, IL 62650(217) 243-1101(217) 243-5003 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Terese J Laughlin Dpm NPPES

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

DR. TERESE J LAUGHLIN DPM (NPI 1265474118) is an individual foot & ankle surgery provider in Jacksonville, Illinois, licensed in Illinois (016004832) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of William M. Scholl College Of Podiatric Medicine (1994).

NPPES Registry Identity

NPI1265474118

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameDR. TERESE J LAUGHLINCredential: DPM

Location Address1515 W WALNUT ST, SUITE 12Jacksonville, IL 62650-1150

Mailing Address1515 W Walnut St, Suite 12Jacksonville, IL 62650-1150 · (217) 243-1101 · Fax (217) 243-5003

Phone(217) 243-1101

Fax(217) 243-5003

Sole ProprietorNo

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1994

Enumeration DateJune 12, 2006

Last NPPES UpdateOctober 1, 2014

✔ NPI 1265474118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in IL · 016004832

1515 W WALNUT ST, Jacksonville, IL 62650

Open in Google Maps ↗

Other Identifiers 8

Other06932011IL · Bcbs Of Illinois

Other034378IL · Health Alliance

Medicare UPINU64408IL

Other330738/270056166IL · Healthlink Ppo

Other016004832/4974780001IL · Medicare Dmerc

Medicaid016004832IL

OtherP00027606/DA1788IL · Railroad Medicare

Medicare ID-Type UnspecifiedL99198/205953IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Terese J Laughlin Dpm 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 ID3971627290

PECOS Enrollment IDI20100824000220

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 15

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

783 services311 patients

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.

281 services169 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

178 services107 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

127 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

98 services98 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

92 services39 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

74 services15 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

68 services52 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.

65 services43 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

43 services33 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

39 services15 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

30 services13 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

30 services24 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

20 services16 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

Mason District Hospital

Critical Access Hospitals · Havana, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141313

Location615 North Promenade Street,p O Box 530Havana, IL 62644 · Mason County

Emergency services

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.

94.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.17

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 18

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

FOOT & ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC

Podiatrist (Foot & Ankle Surgery)

1515 W WALNUT ST, SUITE 12
JACKSONVILLE, IL 62650

Morgan County (217) 243-1101

R & D PHARMACIES, INC

Pharmacy (Community/Retail Pharmacy)

1515 W WALNUT ST
JACKSONVILLE, IL 62650

Morgan County (217) 245-5353

SMILE EXPERTS DENTAL ASSOCIATES

Exclusive Provider Organization

1515 W WALNUT ST
JACKSONVILLE, IL 62650

Morgan County (217) 245-1190

DR. ANTHONY SCROGGINS D.P.M.

Podiatrist

1515 W WALNUT ST, SUITE 3B
JACKSONVILLE, IL 62650

Morgan County (217) 245-4610

DR. ELDON G. BARROWES

Dentist (Endodontics)

1515 W WALNUT ST, BLDG. #3
JACKSONVILLE, IL 62650

Morgan County (217) 479-0900

ROBERT A. KRUEGER, D.D.S., LTD.

Dentist (Orthodontics and Dentofacial Orthopedics)

1515 W WALNUT ST, #8
JACKSONVILLE, IL 62650

Morgan County (217) 245-6400

DVA RENAL HEALTHCARE INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

1515 W WALNUT ST
JACKSONVILLE, IL 62650

Morgan County (217) 243-3042

BRANDYNNE MARIE FRY ALLGAIER FNP-C, APRN

Nurse Practitioner

1515 W WALNUT ST
JACKSONVILLE, IL 62650

Morgan County (217) 243-5313

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 Terese Laughlin's NPI number?

The NPI number for Terese Laughlin is 1265474118. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Terese Laughlin located?

Terese Laughlin practices at 1515 W Walnut St Suite 12, Jacksonville, IL 62650. The listed phone number is (217) 243-1101.

What is Terese Laughlin's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Terese Laughlin enrolled in Medicare?

Yes. Terese 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.

What insurance does Terese Laughlin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Terese 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 Terese Laughlin affiliated with any hospitals?

According to CMS data, Terese Laughlin is affiliated with St Johns Hospital and Mason District Hospital.

When was this NPI record last updated?

The NPPES record for Terese Laughlin was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.