ERIN M MCLOUGHLIN M.D.
NPI 1801139274
Internal Medicine - Hematology & Oncology in Charlottesville, VA

Q: What is Erin Mcloughlin's NPI number?

The NPI number for Erin Mcloughlin is 1801139274. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Q: What is Erin Mcloughlin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Erin Mcloughlin was last updated on July 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment

95.11/100

CMS Quality Rating

500 MARTHA JEFFERSON DR, PHILLIPS CANCER CTR, CHARLOTTESVILLE, VA 22911(434) 654-8390(434) 654-8399 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Erin M Mcloughlin M.d. NPPES

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

ERIN M MCLOUGHLIN M.D. (NPI 1801139274) is an individual hematology & oncology provider in Charlottesville, Virginia, licensed in Virginia (0101261065) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2013).

NPPES Registry Identity

NPI1801139274

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameERIN M MCLOUGHLINCredential: M.D.

Location Address500 MARTHA JEFFERSON DR, PHILLIPS CANCER CTRCharlottesville, VA 22911-4668

Mailing AddressPo Box 79777Baltimore, MD 21279-0777 · (434) 654-7794 · Fax (434) 654-8399

Phone(434) 654-8390

Fax(434) 654-8399

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2013

Enumeration DateApril 3, 2013

Last NPPES UpdateJuly 17, 2020

NPPES CertifiedJuly 17, 2020

✔ NPI 1801139274 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 VA · 0101261065

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 ListedInternal MedicineTaxonomy 207R00000X · License 0101261065 (VA)

500 MARTHA JEFFERSON DR, Charlottesville, VA 22911

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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

Erin M Mcloughlin 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 ID8426286022

PECOS Enrollment IDI20161011000210

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 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.

443 services197 patients

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.

401 services222 patients

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.

309 services115 patients

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.

189 services159 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

72 services72 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services27 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

30 services15 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

27 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490004

Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County

Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490077

Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

95.11/100

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

Scored through an Alternative Payment Model

Quality

86.31

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

JEFFREY CHING-KWEI MAI MD, PHD

Neurological Surgery

500 MARTHA JEFFERSON DR, 5TH FLOOR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-5260

MRS. STEPHANIE RICHARDSON WILHELM CRNP

Nurse Practitioner (Family)

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-7150

ALISON BURKHOLDER HEAVENRIDGE NP

Nurse Practitioner (Gerontology)

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-7580

DR. NORMAN A. BRENBRIDGE MD

Radiology (Diagnostic Radiology)

500 MARTHA JEFFERSON DR, CHARLOTTESVILLE RADIOLOGY
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 244-4580

MAIRIN SMITH MD

Emergency Medicine

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-7154

SCOTT CAMPBELL

Urology

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-5260

MELISSA VOLPE PA-C

Physician Assistant

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-7000

JOHN PHILLIP ROSS PEMBERTON MD

Internal Medicine

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-7000

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 Erin Mcloughlin's NPI number?

The NPI number for Erin Mcloughlin is 1801139274. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Erin Mcloughlin located?

Erin Mcloughlin practices at 500 Martha Jefferson Dr Phillips Cancer Ctr, Charlottesville, VA 22911. The listed phone number is (434) 654-8390.

What is Erin Mcloughlin's specialty?

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

Is Erin Mcloughlin enrolled in Medicare?

Yes. Erin 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.

Is Erin Mcloughlin affiliated with any hospitals?

According to CMS data, Erin Mcloughlin is affiliated with Sentara Rmh Medical Center and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Erin Mcloughlin was last updated on July 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.