MS. KIMBERLY PATRICE MCLAUGHLIN MD
NPI 1679780712
Obstetrics & Gynecology in Folsom, CA

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
1735 CREEKSIDE DR, FOLSOM, CA 95630(916) 983-3500(916) 983-8437 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2024, Oct 19, 2021 (2 updates tracked since 2021).

About Ms. Kimberly Patrice Mclaughlin Md NPPES

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

MS. KIMBERLY PATRICE MCLAUGHLIN MD (NPI 1679780712) is an individual obstetrics & gynecology provider in Folsom, California, licensed in California (A117909) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other.

NPPES Registry Identity

NPI1679780712
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMS. KIMBERLY PATRICE MCLAUGHLINCredential: MD
Location Address1735 CREEKSIDE DRFolsom, CA 95630-3914
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(916) 983-8437
Sole ProprietorNo
Medical School CMSOther
Enumeration DateMay 17, 2007
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1679780712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A117909
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1735 CREEKSIDE DR, Folsom, CA 95630

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kimberly Patrice 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 ID1658429212
PECOS Enrollment IDI20120305000458
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Mclaughlin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1700 PRAIRIE CITY RD
Folsom, CA 95630
  • Reassigned Medicare billing, California enrollment
  • 1,191 clinicians in this Medicare group
Orthopaedic Surgery
1234 E NORTH ST, STE 103
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
35 services24 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
31 services31 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
22 services22 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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.

Specialist
1735 CREEKSIDE DR
FOLSOM, CA 95630
Obstetrics & Gynecology
1735 CREEKSIDE DR
FOLSOM, CA 95630
Nurse Practitioner (Women's Health)
1735 CREEKSIDE DR
FOLSOM, CA 95630

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 Kimberly Mclaughlin's NPI number?

The NPI number for Kimberly Mclaughlin is 1679780712. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Kimberly Mclaughlin located?

Kimberly Mclaughlin practices at 1735 Creekside Dr, Folsom, CA 95630. The listed phone number is (916) 983-3500.

What is Kimberly Mclaughlin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kimberly Mclaughlin enrolled in Medicare?

Yes. Kimberly 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.

Which organizations bill Medicare for Kimberly Mclaughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mclaughlin reassigns Medicare benefits to 2 organizations: Dignity Health Medical Foundation (Folsom, CA) and First Choice Physician Partners (Manteca, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Mclaughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Mclaughlin accept?

Health plans from Cigna Healthcare list Kimberly 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 Kimberly Mclaughlin was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.