DR. HEIDI SUE MCLAUGHLIN M.D.
NPI 1396066536
Obstetrics & Gynecology in La Grange Highlands, IL

Q: What is Heidi Mclaughlin's NPI number?

The NPI number for Heidi Mclaughlin is 1396066536. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Q: What is Heidi Mclaughlin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heidi Mclaughlin was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment

76.92/100

CMS Quality Rating

5201 WILLOW SPRINGS RD, STE 490, LA GRANGE HIGHLANDS, IL 60525(708) 352-4630 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Heidi Sue Mclaughlin M.d. NPPES

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

DR. HEIDI SUE MCLAUGHLIN M.D. (NPI 1396066536) is an individual obstetrics & gynecology provider in La Grange Highlands, Illinois, licensed in Missouri (2020017637) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Mosaic Life Care At St Joseph, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1396066536

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. HEIDI SUE MCLAUGHLINCredential: M.D.

Location Address5201 WILLOW SPRINGS RD, STE 490La Grange Highlands, IL 60525-6537

Mailing Address901 Heartland Rd Ste 2800Saint Joseph, MO 64506-6201 · (816) 271-1200 · Fax (816) 271-1220

Phone(708) 352-4630

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJune 22, 2010

Last NPPES UpdateOctober 9, 2020

NPPES CertifiedOctober 9, 2020

✔ NPI 1396066536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in MO · 2020017637✔ Licensed in IL · 036.137915

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.

5201 WILLOW SPRINGS RD, La Grange Highlands, IL 60525

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Heidi Sue Mclaughlin M.d. 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 ID1658688221

PECOS Enrollment IDI20200817001770

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 2

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 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.

26 services22 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.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260006

Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60525 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

76.92/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.53

Promoting Interoperability

100

Improvement Activities

Cost

56.53

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.

ISABELLE VANMOON CHU MD

Surgery

5201 WILLOW SPRINGS RD
LA GRANGE HIGHLANDS, IL 60525

Cook County (630) 226-0664

SOHAIL QAMAR CSA

5201 WILLOW SPRINGS RD
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 579-0018

JAAFAR AFSHAR MD

Obstetrics & Gynecology

5201 WILLOW SPRINGS RD, 120
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 245-6097

BENJAMIN EYE CARE

Durable Medical Equipment & Medical Supplies

5201 WILLOW SPRINGS RD, SUITE 450
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 354-2008

BARBARA T BORGIONE PA-C

Physician Assistant

5201 WILLOW SPRINGS RD, SUITE 430
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 482-3213

DR. BRUCE DUANE FICK MD

Ophthalmology

5201 WILLOW SPRINGS RD, SUITE 450
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 354-2008

MRS. ALISON BAXTER GIUNTA M.S. PA-C

Physician Assistant (Surgical)

5201 WILLOW SPRINGS RD, #440
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 354-4667

ADVENTIST HEALTH PARTNERS, INC

Obstetrics & Gynecology

5201 WILLOW SPRINGS RD, SUITE 120
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 245-6097

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 Heidi Mclaughlin's NPI number?

The NPI number for Heidi Mclaughlin is 1396066536. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Heidi Mclaughlin located?

Heidi Mclaughlin practices at 5201 Willow Springs Rd Ste 490, La Grange Highlands, IL 60525. The listed phone number is (708) 352-4630.

What is Heidi Mclaughlin's specialty?

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

Is Heidi Mclaughlin enrolled in Medicare?

Yes. Heidi 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.

What insurance does Heidi Mclaughlin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Heidi Mclaughlin 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 Heidi Mclaughlin affiliated with any hospitals?

According to CMS data, Heidi Mclaughlin is affiliated with Mosaic Life Care At St Joseph.

When was this NPI record last updated?

The NPPES record for Heidi Mclaughlin was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.