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BROOKE VILLANUEVA LAUGHTER
NPI 1316365919
Internal Medicine in Middlesboro, KY

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
3600 CUMBERLAND AVE, MIDDLESBORO, KY 40965(606) 242-1100(606) 248-1018 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2019, Mar 17, 2018, Sep 20, 2017 (3 updates tracked since 2017).

About Brooke Villanueva Laughter NPPES

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

BROOKE VILLANUEVA LAUGHTER (NPI 1316365919) is an individual internal medicine provider in Middlesboro, Kentucky, licensed in Kentucky (04189) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316365919
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBROOKE VILLANUEVA LAUGHTER
Location Address3600 CUMBERLAND AVEMiddlesboro, KY 40965
Mailing Address3600 Cumberland AveMiddlesboro, KY 40965-2614 · (606) 242-1100 · Fax (606) 248-1018
Phone(606) 242-1100
Fax(606) 248-1018
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 1, 2014
Last NPPES UpdateMarch 13, 20193 updates tracked since enumeration
✔ NPI 1316365919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 04189
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3600 CUMBERLAND AVE, Middlesboro, KY 40965
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Secondary Practice Locations 2

Location 1500 Cherry StBluefield, WV 24701-3306 · Phone (304) 327-1666
Location 23004 Cumberland AveMiddlesboro, KY 40965-2343 · Phone (606) 248-3324

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 and accepts Medicare assignment

Brooke Villanueva Laughter 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 ID8426321662
PECOS Enrollment IDI20170908002886
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 6

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.

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.
286 services89 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
160 services21 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
120 services108 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.
78 services73 patients
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.
48 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services12 patients

Hospital Affiliations CMS Care Compare

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

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier15 claims15 services$61.98 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers72 claims73 services$19.32 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers67 claims67 services$914.76 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier72 claims72 services$6.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers76 claims77 services$112.00 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$28.76 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 20

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

ZACHARY MATTHEW NEVERSTITCH PHARMD
Pharmacist
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-1100
MRS. MELANIE DIANE HARRIS OTR L
Occupational Therapist
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-1427
DEBORAH L. GEVER MD
Pediatrics
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-1100
APPALACHIAN REGIONAL HEALTHCARE, INC.
Emergency Medicine
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-1100
DR. JAMES S BAZZI MD
Orthopaedic Surgery
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-1463
KALI STICKLEY WEAVER PHARM.D.
Pharmacist
3600 CUMBERLAND AVE, MIDDLESBORO ARH PHARMACY
MIDDLESBORO, KY 40965
Bell County (606) 242-1167
ROBERT R HUGHES CRNA
Nurse Anesthetist, Certified Registered
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-1100
COMPREHENSIVE HOSPITALIST SERVICES OF KENTUCKY LLC
Hospitalist
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (877) 693-5700

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 Brooke Laughter's NPI number?

The NPI number for Brooke Laughter is 1316365919. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Brooke Laughter located?

Brooke Laughter practices at 3600 Cumberland Ave, Middlesboro, KY 40965. The listed phone number is (606) 242-1100.

What is Brooke Laughter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brooke Laughter enrolled in Medicare?

Yes. Brooke Laughter 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 Brooke Laughter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Brooke Laughter 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 Brooke Laughter affiliated with any hospitals?

According to CMS data, Brooke Laughter is affiliated with Middlesboro Arh Hospital.

When was this NPI record last updated?

The NPPES record for Brooke Laughter was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.