MR. DANNY JOE MCLAUGHLIN RPA-C
NPI 1639436264
Physician Assistant in Inverness, FL

Active since April 20, 2012PECOS EnrolledAccepts Medicare Assignment
80.4/100
CMS Quality Rating
305 S LINE AVE, INVERNESS, FL 34452(352) 344-4791(352) 344-3822 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2023, Jul 19, 2022, Aug 11, 2020 and 2 more (5 updates tracked since 2018).

About Mr. Danny Joe Mclaughlin Rpa-c NPPES

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

MR. DANNY JOE MCLAUGHLIN RPA-C (NPI 1639436264) is an individual physician assistant in Inverness, Florida, licensed in Florida (PA9107769) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1639436264
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DANNY JOE MCLAUGHLINCredential: RPA-C
Location Address305 S LINE AVEInverness, FL 34452-4605
Mailing AddressPo Box 1925Lady Lake, FL 32158-1925 · (352) 553-4075 · Fax (888) 770-3208
Fax(352) 344-3822
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 20, 2012
Last NPPES UpdateJuly 3, 20235 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
NPI 1639436264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in FL · PA9107769 Licensed in NY · 015566
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
305 S LINE AVE, Inverness, FL 34452

Other Identifiers 5

Medicaid101633100FL
OtherPA9107769FL · Fla Pa License
OtherPAX00010382FL · State Of Fla Prescrbing Number
OtherHR933VFL · Medicare
OtherY0L63FL · Blue Shield Florida

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

Mr. Danny Joe Mclaughlin Rpa-c 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 ID2769646892
PECOS Enrollment IDI20140228000505
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 8

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
968 services351 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
312 services175 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
268 services260 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
31 services26 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
30 services28 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34452 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

80.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.38
Promoting Interoperability88
Improvement Activities40
Cost37.95

Other Providers at the Same Location NPPES 8

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

Pain Medicine (Pain Medicine)
305 S LINE AVE
INVERNESS, FL 34452
Nurse Practitioner (Family)
305 S LINE AVE
INVERNESS, FL 34452
Obstetrics & Gynecology (Gynecology)
305 S LINE AVE
INVERNESS, FL 34452
Nurse Practitioner (Family)
305 S LINE AVE
INVERNESS, FL 34452
Specialist
305 S LINE AVE
INVERNESS, FL 34452
Physician Assistant (Medical)
305 S LINE AVE
INVERNESS, FL 34452
Specialist
305 S LINE AVE
INVERNESS, FL 34452
Nurse Practitioner (Family)
305 S LINE AVE
INVERNESS, FL 34452

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 Danny Mclaughlin's NPI number?

The NPI number for Danny Mclaughlin is 1639436264. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Where is Danny Mclaughlin located?

Danny Mclaughlin practices at 305 S Line Ave, Inverness, FL 34452. The listed phone number is (352) 344-4791.

What is Danny Mclaughlin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Danny Mclaughlin enrolled in Medicare?

Yes. Danny 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 Danny Mclaughlin was last updated on July 3, 2023. 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.