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DR. JOEL PARKER LAUGHLIN MD
NPI 1578503496
Family Medicine in Mobile, AL

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
5100 RANGELINE ROAD N, MOBILE, AL 36619(251) 661-4454(251) 661-9843 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Joel Parker Laughlin Md NPPES

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

DR. JOEL PARKER LAUGHLIN MD (NPI 1578503496) is an individual family medicine provider in Mobile, Alabama, licensed in Alabama (00027030) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (1981).

NPPES Registry Identity

NPI1578503496
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOEL PARKER LAUGHLINCredential: MD
Location Address5100 RANGELINE ROAD NMobile, AL 36619-9504
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Phone(251) 661-4454
Fax(251) 661-9843
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1981
Enumeration DateJune 8, 2006
Last NPPES UpdateFebruary 11, 2019
✔ NPI 1578503496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 00027030
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5100 RANGELINE ROAD N, Mobile, AL 36619
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Other Names 1

Professional Name (2)Joel P Laughlin Md

Other Identifiers 3

Other511-11838AL · Blue Cross Of Alabama
Other510-05964AL · Blue Cross
Medicaid126908AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas.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. Joel Parker Laughlin Md 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 ID3779590732
PECOS Enrollment IDI20060315000724
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

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.
166 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36619 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
60%304 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
38%383 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
67%703 patients4/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 31% · 97 patients
Patients 4MonthsOfStart: 28% · 112 patients
56%104 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
21%205 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%12,804 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
46%778 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%242 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%1,270 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
34%915 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%1,270 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
24%1,270 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
21%1,270 patients
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.

SETON MEDICAL MANAGEMENT INC.
Preventive Medicine (Occupational Medicine)
5100 RANGELINE ROAD N
MOBILE, AL 36619
Mobile County (251) 378-4000
MS. MABLE JEANNETTE ELKINS ARNP
Nurse Practitioner (Adult Health)
5100 RANGELINE ROAD N
MOBILE, AL 36619
Mobile County (251) 661-4454
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Family Medicine
5100 RANGELINE ROAD N
MOBILE, AL 36619
Mobile County (251) 661-4454

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 Joel Laughlin's NPI number?

The NPI number for Joel Laughlin is 1578503496. It was assigned to this individual provider in the NPPES registry on June 8, 2006. The provider is also known as Joel P Laughlin MD.

Where is Joel Laughlin located?

Joel Laughlin practices at 5100 Rangeline Road N, Mobile, AL 36619. The listed phone number is (251) 661-4454.

What is Joel Laughlin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joel Laughlin enrolled in Medicare?

Yes. Joel Laughlin 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 Joel Laughlin accept?

Health plans from Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Texas list Joel 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 Joel Laughlin was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.