DR. MICHAEL J MCLAUGHLIN MD
NPI 1679534648
Internal Medicine - Hematology & Oncology in Denver, CO

Q: What is Michael Mclaughlin's NPI number?

The NPI number for Michael Mclaughlin is 1679534648. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Q: What is Michael Mclaughlin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment

91.11/100

CMS Quality Rating

777 BANNOCK ST, DENVER, CO 80204(303) 436-6000 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael J Mclaughlin Md NPPES

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

DR. MICHAEL J MCLAUGHLIN MD (NPI 1679534648) is an individual hematology & oncology provider in Denver, Colorado, licensed in Colorado (36443) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1679534648

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. MICHAEL J MCLAUGHLINCredential: MD

Location Address777 BANNOCK STDenver, CO 80204-4507

Mailing Address777 Bannock StDenver, CO 80204-4507 · (303) 296-1767 · Fax (303) 296-3484

Phone(303) 436-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateMarch 30, 2006

Last NPPES UpdateMarch 14, 2024

NPPES CertifiedMarch 14, 2024

✔ NPI 1679534648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in CO · 36443

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 36443 (CO)

777 BANNOCK ST, Denver, CO 80204

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Other Identifiers 1

Medicaid06908888CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. Michael J Mclaughlin 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 ID1254378987

PECOS Enrollment IDI20050413000935

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

135 services62 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.

23 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80204 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

$174.82 typical visit price

range $58.06 – $174.82

Typical copayment $43.70 (range $14.51 – $43.70)

Most-billed visit code 99205

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

91.11/100

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

Scored as part of a group practice

Quality

90.23

Promoting Interoperability

Improvement Activities

Cost

73.49

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.

MS. KATHERINE JEANNE CARLEY RN, MSN, CS

Clinical Nurse Specialist (Psychiatric/Mental Health)