RANDIE R MCLAUGHLIN C.R.N.P.
NPI 1598756389
Nurse Practitioner in Frederick, MD

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
80.25/100
CMS Quality Rating
1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702(301) 663-4774(240) 439-8910 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randie R Mclaughlin C.r.n.p. NPPES

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

RANDIE R MCLAUGHLIN C.R.N.P. (NPI 1598756389) is an individual nurse practitioner in Frederick, Maryland, licensed in Maryland (R072617) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains a secondary practice location in Frederick.

NPPES Registry Identity

NPI1598756389
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRANDIE R MCLAUGHLINCredential: C.R.N.P.
Location Address1562 OPOSSUMTOWN PIKEFrederick, MD 21702
Mailing AddressPo Box 37086Baltimore, MD 21297-3086 · (240) 439-8913 · Fax (240) 439-8910
Fax(240) 439-8910
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 30, 2019
NPI 1598756389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MD · R072617
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1562 OPOSSUMTOWN PIKE, Frederick, MD 21702

Secondary Practice Location 1

Location 1186 Thomas Johnson Dr Ste 104Frederick, MD 21702-4471 · Phone (301) 695-6466 · Fax (301) 695-1094

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

Randie R Mclaughlin C.r.n.p. 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 ID4587717921
PECOS Enrollment IDI20090731000542
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 10

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.
506 services435 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.
483 services432 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.
461 services379 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
333 services258 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
30 services13 patients
Simple bladder irrigation and/or instillation 51700
Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.
29 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

80.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Promoting Interoperability100
Improvement Activities40
Cost54.89

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340
DME-Orthotic Devices · category DF000N
4 suppliers13 claims17 services$30.72 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
7 suppliers63 claims10,986 services$1.58 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers17 claims45 services$9.38 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
6 suppliers13 claims62 services$5.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
1562 OPOSSUMTOWN PIKE
FREDERICK, MD 21702
Nurse Practitioner (Acute Care)
1562 OPOSSUMTOWN PIKE
FREDERICK, MD 21702
Internal Medicine (Medical Oncology)
1562 OPOSSUMTOWN PIKE
FREDERICK, MD 21702
Nurse Practitioner (Adult Health)
1562 OPOSSUMTOWN PIKE
FREDERICK, MD 21702
Physical Therapist
1562 OPOSSUMTOWN PIKE
FREDERICK, MD 21702
Dietitian, Registered
1562 OPOSSUMTOWN PIKE
FREDERICK, MD 21702
Physician Assistant
1562 OPOSSUMTOWN PIKE
FREDERICK, MD 21702
Urology
1562 OPOSSUMTOWN PIKE
FREDERICK, MD 21702

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 Randie Mclaughlin's NPI number?

The NPI number for Randie Mclaughlin is 1598756389. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Randie Mclaughlin located?

Randie Mclaughlin practices at 1562 Opossumtown Pike, Frederick, MD 21702. The listed phone number is (301) 663-4774.

What is Randie Mclaughlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Randie Mclaughlin enrolled in Medicare?

Yes. Randie 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.

Is Randie Mclaughlin affiliated with any hospitals?

According to CMS data, Randie Mclaughlin is affiliated with Frederick Health Hospital and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Randie Mclaughlin was last updated on July 30, 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.