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DR. LAUREN MCLOUGHLIN OD
NPI 1790788719
Optometrist in Portsmouth, NH

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
155 BORTHWICK AVE, SUITE 200 EAST, PORTSMOUTH, NH 03801(603) 436-1773(603) 427-0655 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lauren Mcloughlin Od NPPES

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

DR. LAUREN MCLOUGHLIN OD (NPI 1790788719) is an individual optometrist in Portsmouth, New Hampshire, licensed in New Hampshire (0722) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (1997).

NPPES Registry Identity

NPI1790788719
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LAUREN MCLOUGHLINCredential: OD
Location Address155 BORTHWICK AVE, SUITE 200 EASTPortsmouth, NH 03801-7156
Mailing Address155 Borthwick Ave, Suite 200 EastPortsmouth, NH 03801-7156 · (603) 436-1773 · Fax (603) 427-0655
Phone(603) 436-1773
Fax(603) 427-0655
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 1997
Enumeration DateMay 23, 2005
Last NPPES UpdateMay 11, 2020
NPPES CertifiedMay 11, 2020
✔ NPI 1790788719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NH · 0722
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
155 BORTHWICK AVE, Portsmouth, NH 03801
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Other Identifiers 1

Medicaid30353373NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.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. Lauren Mcloughlin Od 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 ID2860396652
PECOS Enrollment IDI20050218000151
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 11

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.
745 services339 patients
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.
428 services418 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.
119 services109 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
113 services97 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.
82 services59 patients
Analysis of substance using immunoassay technique, multiple step method 83516
This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.
56 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
87%54 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
83%54 patients3/55-star benchmark: 100%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
7%296 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
93%328 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
62%50 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
3%2,464 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
83%580 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
3%449 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
48%2,313 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
15%296 patients1/55-star benchmark: 95%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
10%479 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
97%32 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
47%2,313 patients2/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
87%146 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

APPLEDORE MEDICAL GROUP-DIABETES RESOURCE CENTER
Dietitian, Registered
155 BORTHWICK AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 433-5160
DANIEL L DAVIES DO
Internal Medicine
155 BORTHWICK AVE, SUITE 202W
PORTSMOUTH, NH 03801
Rockingham County (603) 433-8434
HNNH LLC
Naturopath
155 BORTHWICK AVE, WEST #102
PORTSMOUTH, NH 03801
Rockingham County (603) 610-7778
AMIRA DIAMOND-BIER ND
Naturopath
155 BORTHWICK AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 610-7778
DR. CHRISTOPHER TURNER O.D.
Optometrist
155 BORTHWICK AVE, SUITE 200 EAST
PORTSMOUTH, NH 03801
Rockingham County (603) 501-7868
DR. STEPHEN P. BRADY M.D.
Dermatology (Dermatopathology)
155 BORTHWICK AVE, SUITE 201 WEST
PORTSMOUTH, NH 03801
Rockingham County (603) 433-9575
TABAREK KADHIM
Optometrist
155 BORTHWICK AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 436-1773
DR. IAN D BIER ND., LAC, PHD
Naturopath
155 BORTHWICK AVE, WEST SUITE 102
PORTSMOUTH, NH 03801
Rockingham County (603) 610-7778

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 Lauren Mcloughlin's NPI number?

The NPI number for Lauren Mcloughlin is 1790788719. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Lauren Mcloughlin located?

Lauren Mcloughlin practices at 155 Borthwick Ave Suite 200 East, Portsmouth, NH 03801. The listed phone number is (603) 436-1773.

What is Lauren Mcloughlin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lauren Mcloughlin enrolled in Medicare?

Yes. Lauren Mcloughlin 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 Lauren Mcloughlin accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Lauren 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.

When was this NPI record last updated?

The NPPES record for Lauren Mcloughlin was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.