CORY MICHAEL MCLAUGHLIN MD
NPI 1326467648
Surgery - Pediatric Surgery in Memphis, TN

NPI Status: Active since April 15, 2014

Contact Information

UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN
ZIP 38163
Phone: (901) 287-6330

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Surgery
Pediatric Surgery
Accepts Insurance
PECOS Enrolled

About CORY MCLAUGHLIN

This page provides the complete NPI Profile along with additional information for Cory Mclaughlin, a provider established in Memphis, Tennessee with a medical specialization in Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1326467648 assigned on April 2014. The practitioner's primary taxonomy code is 2086S0120X with license number DR.0070499 (CO). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI: 1326467648
Provider Name: CORY MICHAEL MCLAUGHLIN MD
Gender: Male
Entity Type: Individual
Location Address: UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447 MEMPHIS, TN 38163
Location Phone: (901) 287-6330
Mailing Address: PO BOX 110429 AURORA, CO 80042
Is Sole Proprietor?: No
Enumeration Date: 04-15-2014
Last Update Date: 07-19-2023
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Location Map

Secondary Locations

4125 Briargate Pkwy
Colorado Springs, CO 80920
(719) 305-9035

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Surgery Pediatric Surgery
Taxonomy Code: 2086S0120X
Type: Allopathic & Osteopathic Physicians
License No.: DR.0070499
License State: CO
Taxonomy Description: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	208600000X	Allopathic & Osteopathic Physicians	Surgery	A149149 (CA)
2	390200000X	Student, Health Care	Student in an Organized Health Care Education/Training Program

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medica

Medica Insure Bronze $0 Copay PCP Visits - EPO
Medica Insure Bronze Premier - EPO
Medica Insure Bronze Share - EPO
Medica Insure Expanded Bronze Standard - EPO
Medica Insure Gold $0 Copay PCP Visits - EPO
Medica Insure Gold Share - EPO
Medica Insure Gold Standard - EPO
Medica Insure Silver $0 Copay PCP Visits - EPO
Medica Insure Silver Share - EPO
Medica Insure Silver Standard - EPO

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
UHC Bronze Standard (No Referrals) - EPO
UHC Bronze Value HSA (No Referrals) - EPO
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - EPO
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
UHC Gold Standard (No Referrals) - EPO
UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
UHC Silver Standard (No Referrals) - EPO
UHC Silver Value ($0 Virtual Urgent Care, No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Cory Mclaughlin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1326467648, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 4

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 14 → 1 + 4

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 4 + 6 + 8 + 6 + 1 + 4 + 6 + 8 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1326467648.