RAY HARVEY MCLAUGHLIN JR. M.D.
NPI 1720215049
Internal Medicine - Rheumatology in Tuscaloosa, AL

Active since June 12, 2009PECOS EnrolledAccepts Medicare Assignment
83.85/100
CMS Quality Rating
100 TOWNCENTER BLVD, SUITE 112, TUSCALOOSA, AL 35406(205) 750-0030 Get Directions Write a Review

NPPES record last updated: November 25, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ray Harvey Mclaughlin Jr. M.d. NPPES

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

RAY HARVEY MCLAUGHLIN JR. M.D. (NPI 1720215049) is an individual rheumatology provider in Tuscaloosa, Alabama, licensed in Alabama (31716) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2009).

NPPES Registry Identity

NPI1720215049
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameRAY HARVEY MCLAUGHLIN JR.Credential: M.D.
Location Address100 TOWNCENTER BLVD, SUITE 112Tuscaloosa, AL 35406-1833
Mailing Address100 Towncenter Blvd, Suite 112Tuscaloosa, AL 35406-1833 · (205) 750-0030
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2009
Enumeration DateJune 12, 2009
Last NPPES UpdateNovember 25, 2015
✔ NPI 1720215049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in AL · 31716
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
100 TOWNCENTER BLVD, Tuscaloosa, AL 35406

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

Ray Harvey Mclaughlin Jr. 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 ID3173773546
PECOS Enrollment IDI20140625002494
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 31

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
196,401 services54 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
6,840 services71 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
745 services137 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.
694 services399 patients
Measurement c-reactive protein for detection of infection or inflammation 86140
C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
548 services353 patients
Red blood cell sedimentation rate, to detect inflammation, automated 85652
The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.
546 services350 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35406 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

83.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner
100 TOWNCENTER BLVD, STE 300
TUSCALOOSA, AL 35406
Nurse Practitioner (Family)
100 TOWNCENTER BLVD
TUSCALOOSA, AL 35406
Family Medicine
100 TOWNCENTER BLVD, SUITE 300
TUSCALOOSA, AL 35406
Nurse Practitioner (Adult Health)
100 TOWNCENTER BLVD, SUITE 112
TUSCALOOSA, AL 35406
Clinic/Center (Physical Therapy)
100 TOWNCENTER BLVD, SUITE 202
TUSCALOOSA, AL 35406
Nurse Practitioner (Family)
100 TOWNCENTER BLVD
TUSCALOOSA, AL 35406
Obstetrics & Gynecology
100 TOWNCENTER BLVD, STE 201
TUSCALOUSA, AL 35406
Prosthetic/Orthotic Supplier
100 TOWNCENTER BLVD, SUITE 303
TUSCALOOSA, AL 35406

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 Ray Mclaughlin's NPI number?

The NPI number for Ray Mclaughlin is 1720215049. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Where is Ray Mclaughlin located?

Ray Mclaughlin practices at 100 Towncenter Blvd Suite 112, Tuscaloosa, AL 35406. The listed phone number is (205) 750-0030.

What is Ray Mclaughlin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ray Mclaughlin enrolled in Medicare?

Yes. Ray 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 Ray Mclaughlin accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Ray 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 Ray Mclaughlin was last updated on November 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.