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DONALD R MCLAURIN DDS, MD
NPI 1265518187
Dentist - Oral and Maxillofacial Surgery in Mt Sterling, KY

Active since October 31, 2006PECOS Enrolled
25 E HIGH ST, MT STERLING, KY 40353(859) 498-6204(859) 498-6205 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Donald R Mclaurin Dds, Md NPPES

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

DONALD R MCLAURIN DDS, MD (NPI 1265518187) is an individual oral and maxillofacial surgery provider in Mt Sterling, Kentucky, licensed in Kentucky (7960) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265518187
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDONALD R MCLAURINCredential: DDS, MD
Location Address25 E HIGH STMt Sterling, KY 40353-1267
Mailing Address25 E High StMt Sterling, KY 40353-1267 · (859) 498-6204 · Fax (859) 498-6205
Phone(859) 498-6204
Fax(859) 498-6205
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 15, 2016
✔ NPI 1265518187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in KY · 7960
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 7960 (KY)
25 E HIGH ST, Mt Sterling, KY 40353
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Other Identifiers 2

Medicaid64942584KY
Medicare UPING19409KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald R Mclaurin Dds, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40353 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 4

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

JOHN I GRAY III DMD
Dentist (Oral and Maxillofacial Surgery)
25 E HIGH ST
MT STERLING, KY 40353
Montgomery County (859) 498-6204
JOHN I GRAY III PSC
Dentist (Oral and Maxillofacial Surgery)
25 E HIGH ST
MT STERLING, KY 40353
Montgomery County (859) 498-6204
DR. WILLIAM MICHAEL SEXTON D.M.D
Dentist (Oral and Maxillofacial Surgery)
25 E HIGH ST
MT STERLING, KY 40353
Montgomery County (859) 498-6204
MOUNT STERLING PEDIATRIC DENTISTRY PLLC
Dentist (Pediatric Dentistry)
25 E HIGH ST
MOUNT STERLING, KY 40353
Montgomery County (606) 465-1641

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 Donald Mclaurin's NPI number?

The NPI number for Donald Mclaurin is 1265518187. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Donald Mclaurin located?

Donald Mclaurin practices at 25 E High St, Mt Sterling, KY 40353. The listed phone number is (859) 498-6204.

What is Donald Mclaurin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Donald Mclaurin enrolled in Medicare?

Yes. Donald Mclaurin is registered in the Medicare PECOS enrollment system.

What insurance does Donald Mclaurin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 11 other insurers list Donald Mclaurin 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.

When was this NPI record last updated?

The NPPES record for Donald Mclaurin was last updated on July 15, 2016. 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.