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DR. DONELLE A LAUGHLIN MD
NPI 1336140656
Obstetrics & Gynecology in Monterey, CA

Active since August 09, 2005PECOS EnrolledCLIA 05D2045535 · Waiver
88.97/100
CMS Quality Rating
889 PACIFIC ST, MONTEREY, CA 93940(831) 649-0175(831) 646-0220 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Donelle A Laughlin Md NPPES

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

DR. DONELLE A LAUGHLIN MD (NPI 1336140656) is an individual obstetrics & gynecology provider in Monterey, California, licensed in California (A65672) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 26, 2027, and is a graduate of University Of California, Geffen School Of Medicine (1996).

NPPES Registry Identity

NPI1336140656
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. DONELLE A LAUGHLINCredential: MD
Location Address889 PACIFIC STMonterey, CA 93940-4463
Mailing AddressPo Box 1711Monterey, CA 93942-1711 · (831) 649-0175 · Fax (831) 646-0220
Phone(831) 649-0175
Fax(831) 646-0220
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1996
Enumeration DateAugust 9, 2005
Last NPPES UpdateSeptember 26, 2022
NPPES CertifiedSeptember 26, 2022
✔ NPI 1336140656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A65672
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
889 PACIFIC ST, Monterey, CA 93940
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donelle A Laughlin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022915768
PECOS Enrollment IDI20031219000319
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2045535

Donelle A. Laughlin MD, Inc · Monterey, CA
Active · expires Aug 26, 2027
CLIA Number05D2045535
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorDonelle A. Laughlin MD
Laboratory Phone(831) 649-0175
Laboratory LocationDonelle A. Laughlin MD, Inc889 Pacific St, Monterey, CA 93940
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,560 services16 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.
524 services327 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
189 services189 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
185 services185 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.
183 services150 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
55 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$139.84 typical visit price
range $61.69 – $184.30
Typical copayment $34.96 (range $15.42 – $46.07)
Most-billed visit code 99204
Established Patient
$76.53 typical visit price
range $20.34 – $151.02
Typical copayment $19.13 (range $5.08 – $37.75)
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.

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.

88.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.89
Improvement Activities40
Cost79.38

Reported Quality Measures

Breast Cancer Screening
83%654 patients4/55-star benchmark: 93%
Cervical Cancer Screening
96%858 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
42%218 patients
Controlling High Blood Pressure
31%61 patients2/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
45%1,483 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
37%2,461 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 1,414 patients
Patients screened: 82% · 1,414 patients
4%25 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DONELLE LAUGHLIN, M.D., INC.
Specialist
889 PACIFIC ST
MONTEREY, CA 93940
Monterey County (831) 649-0175
DR. JESSICA BRIT HOLT DNP
Nurse Practitioner (Women's Health)
889 PACIFIC ST
MONTEREY, CA 93940
Monterey County (831) 649-0175
DR. TRICIA E MARKUSEN MD
Obstetrics & Gynecology
889 PACIFIC ST
MONTEREY, CA 93940
Monterey County (831) 649-0175

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 Donelle Laughlin's NPI number?

The NPI number for Donelle Laughlin is 1336140656. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Donelle Laughlin located?

Donelle Laughlin practices at 889 Pacific St, Monterey, CA 93940. The listed phone number is (831) 649-0175.

What is Donelle Laughlin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Donelle Laughlin enrolled in Medicare?

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

Does Donelle Laughlin hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2045535) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Donelle Laughlin was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.