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KAREN MCLAUGHLIN NP
NPI 1376926824
Nurse Practitioner - Family in Stamford, CT

Active since July 01, 2015PECOS EnrolledAccepts Medicare Assignment
79.07/100
CMS Quality Rating
292 LONG RIDGE RD STE 104, STAMFORD, CT 06902(203) 276-8575 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Mclaughlin Np NPPES

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

KAREN MCLAUGHLIN NP (NPI 1376926824) is an individual family provider in Stamford, Connecticut, licensed in New York (339549) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1376926824
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN MCLAUGHLINCredential: NP
Location Address292 LONG RIDGE RD STE 104Stamford, CT 06902-1627
Mailing Address292 Long Ridge Rd Ste 104Stamford, CT 06902-1627 · (203) 276-8575
Phone(203) 276-8575
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 1, 2015
Last NPPES UpdateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
✔ NPI 1376926824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · 339549✔ Licensed in CT · 8756
292 LONG RIDGE RD STE 104, Stamford, CT 06902
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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

Karen Mclaughlin Np 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 ID2264710698
PECOS Enrollment IDI20200629000709
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 12

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.

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.
226 services176 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
130 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
77 services49 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.
67 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services26 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06902 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

79.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.19
Promoting Interoperability99
Improvement Activities40
Cost57.89

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.

MISS MARIA JOSEFINA ANTONIO APRN
Nurse Practitioner (Family)
292 LONG RIDGE RD STE 104
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-8575
LAVALEE GAYON BURTON APRN
Nurse Practitioner (Family)
292 LONG RIDGE RD STE 104
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-8575
MR. ROBERT HENRY JORDAN III NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
292 LONG RIDGE RD STE 104
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-8575
LAUREN NOVY APRN
Nurse Practitioner (Family)
292 LONG RIDGE RD STE 104
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-8575

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 Karen Mclaughlin's NPI number?

The NPI number for Karen Mclaughlin is 1376926824. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Karen Mclaughlin located?

Karen Mclaughlin practices at 292 Long Ridge Rd Ste 104, Stamford, CT 06902. The listed phone number is (203) 276-8575.

What is Karen Mclaughlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Mclaughlin enrolled in Medicare?

Yes. Karen Mclaughlin 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.

When was this NPI record last updated?

The NPPES record for Karen Mclaughlin was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.