DR. JOHN PATRICK MCLAUGHLIN M.D.
NPI 1649653353
Ophthalmology in Cape May Court House, NJ

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
90.41/100
CMS Quality Rating
4 VILLAGE DR, CAPE MAY COURT HOUSE, NJ 08210(609) 465-7100(609) 465-7659 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Patrick Mclaughlin M.d. NPPES

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

DR. JOHN PATRICK MCLAUGHLIN M.D. (NPI 1649653353) is an individual ophthalmology provider in Cape May Court House, New Jersey, licensed in New Jersey (25MA10511100) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of George Washington University School Of Medicine (2015).

NPPES Registry Identity

NPI1649653353
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN PATRICK MCLAUGHLINCredential: M.D.
Location Address4 VILLAGE DRCape May Court House, NJ 08210-1939
Mailing Address4 Village DrCape May Court House, NJ 08210-1939 · (609) 465-7100 · Fax (609) 465-7659
Fax(609) 465-7659
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2015
Enumeration DateJune 30, 2015
Last NPPES UpdateMay 21, 2019
NPI 1649653353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA10511100
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4 VILLAGE DR, Cape May Court House, NJ 08210

Secondary Practice Locations 5

Location 19701 Ventnor AveMargate City, NJ 08402-2222 · Phone (609) 822-4242 · Fax (609) 822-3211
Location 2297 Route 72 WManahawkin, NJ 08050-2890 · Phone (609) 597-0666 · Fax (609) 597-3385
Location 33003 English Creek AveEgg Harbor Township, NJ 08234-4863 · Phone (609) 569-9949 · Fax (609) 569-1775
Location 476 W Jimmie Leeds RdGalloway, NJ 08205-9411 · Phone (609) 652-0300 · Fax (609) 652-0730
Location 52401 Bay AveOcean City, NJ 08226-2456 · Phone (609) 399-6300 · Fax (609) 399-6284

Accepted 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. John Patrick 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 ID8820389232
PECOS Enrollment IDI20190617000568
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 14

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,103 services1,052 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,008 services955 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
355 services271 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
314 services199 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
274 services231 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.
223 services218 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08210 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

90.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost68.03

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers53 claims53 services$49.31 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers17 claims34 services$37.10 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers43 claims86 services$45.66 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers45 claims88 services$13.54 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

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

Durable Medical Equipment & Medical Supplies
4 VILLAGE DR
CAPE MAY COURT HOUSE, NJ 08210

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 John Mclaughlin's NPI number?

The NPI number for John Mclaughlin is 1649653353. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is John Mclaughlin located?

John Mclaughlin practices at 4 Village Dr, Cape May Court House, NJ 08210. The listed phone number is (609) 465-7100.

What is John Mclaughlin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Mclaughlin enrolled in Medicare?

Yes. John 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 John Mclaughlin accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list John 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.

When was this NPI record last updated?

The NPPES record for John Mclaughlin was last updated on May 21, 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.