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DR. MARTHA MCLOUGHLIN M.D.
NPI 1700943214
Family Medicine in Worcester, MA

Active since January 03, 2007PECOS Enrolled
281 LINCOLN ST, MEDICAL STAFF SVCS, WORCESTER, MA 01605(508) 334-1131(508) 334-8235 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Martha Mcloughlin M.d. NPPES

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

DR. MARTHA MCLOUGHLIN M.D. (NPI 1700943214) is an individual family medicine provider in Worcester, Massachusetts, licensed in Massachusetts (226055) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of University Of Massachusetts Medical School (2005).

NPPES Registry Identity

NPI1700943214
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARTHA MCLOUGHLINCredential: M.D.
Location Address281 LINCOLN ST, MEDICAL STAFF SVCSWorcester, MA 01605-2138
Mailing Address281 Lincoln St, Medical Staff SvcsWorcester, MA 01605-2138 · (508) 334-1131 · Fax (508) 334-8235
Phone(508) 334-1131
Fax(508) 334-8235
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2005
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700943214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 226055
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
281 LINCOLN ST, Worcester, MA 01605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Martha Mcloughlin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42371833
PECOS Enrollment IDI20081211000785
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
85 services60 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.55 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$30.47 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.

STACY AILEEN MEULENAERE OTR/L
Occupational Therapist
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
RACHEL NOONE PA-C
Physician Assistant
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6158
DR. THOMAS EVANS M.D.
Emergency Medicine
281 LINCOLN ST, MED STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-8015
RAJIV BALASURIYA M.D.
Family Medicine
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-8015
DR. DANIEL LEE M.D., PHD
Internal Medicine (Medical Oncology)
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-1131
MEGAN ELIZABETH KLEIN MS, CCC-SLP
Speech-Language Pathologist
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
ANKUR SHAH NARAIN MD
Orthopaedic Surgery
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1955
THOMAS MICHAEL CERVANTES
Plastic Surgery (Surgery of the Hand)
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000

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 Martha Mcloughlin's NPI number?

The NPI number for Martha Mcloughlin is 1700943214. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Martha Mcloughlin located?

Martha Mcloughlin practices at 281 Lincoln St Medical Staff Svcs, Worcester, MA 01605. The listed phone number is (508) 334-1131.

What is Martha Mcloughlin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Martha Mcloughlin enrolled in Medicare?

Yes. Martha Mcloughlin is registered in the Medicare PECOS enrollment system.

What insurance does Martha Mcloughlin accept?

Health plans from Anthem Blue Cross and Blue Shield list Martha Mcloughlin 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.

Is Martha Mcloughlin affiliated with any hospitals?

According to CMS data, Martha Mcloughlin is affiliated with Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Martha Mcloughlin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.