JAMES J LAUGHLIN MD
NPI 1326045352
Pediatrics in Bloomington, IN

Active since July 05, 2005PECOS Enrolled
350 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 332-9874(812) 335-7604 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2022, Dec 31, 2020 (2 updates tracked since 2020).

About James J Laughlin Md NPPES

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

JAMES J LAUGHLIN MD (NPI 1326045352) is an individual pediatrics provider in Bloomington, Indiana, licensed in Indiana (01027805A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1326045352
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMES J LAUGHLINCredential: MD
Location Address350 S LANDMARK AVEBloomington, IN 47403-5001
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(812) 335-7604
Sole ProprietorNo
Enumeration DateJuly 5, 2005
Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1326045352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IN · 01027805A✔ Licensed in IN · 01027805
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
350 S LANDMARK AVE, Bloomington, IN 47403

Secondary Practice Location 1

Location 12651 E Discovery PkwyBloomington, IN 47408-9059 · Phone (812) 353-3800 · Fax (812) 353-3770

Other Identifiers 1

Medicaid100183450AIN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James J Laughlin 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.

Medicare Billing Reassignment

Medicare enrollment records show James Laughlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Nurse Practitioner (Pediatrics)
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Social Worker
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Nurse Practitioner (Pediatrics)
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Pediatrics
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Counselor (Mental Health)
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Pediatrics
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Pediatrics
350 S LANDMARK AVE
BLOOMINGTON, IN 47403

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 James Laughlin's NPI number?

The NPI number for James Laughlin is 1326045352. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is James Laughlin located?

James Laughlin practices at 350 S Landmark Ave, Bloomington, IN 47403. The listed phone number is (812) 332-9874.

What is James Laughlin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Laughlin enrolled in Medicare?

Yes. James Laughlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Laughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Laughlin reassigns Medicare benefits to Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN). The 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 James Laughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Laughlin accept?

Health plans from CareSource and Cigna Healthcare list James 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.

When was this NPI record last updated?

The NPPES record for James Laughlin was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.