JAMES MCLAUGHLIN
NPI 1841266574
Psychiatry & Neurology - Neurology in Seneca, PA
About James Mclaughlin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES MCLAUGHLIN (NPI 1841266574) is an individual neurology provider in Seneca, Pennsylvania, licensed in Pennsylvania (OS005521L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Philadelphia College Of Osteopathic Medicine (1983).
NPPES Registry Identity
Specialties & Licenses
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
James Mclaughlin 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.
Medicare Billing Reassignments
3Medicare enrollment records show James Mclaughlin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seneca, PA 16346
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,182 clinicians in this Medicare group
Franklin, PA 16323
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
Erie, PA 16550
- Reassigned Medicare billing, Pennsylvania enrollment
- 962 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 13
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Mercy
Acute Care Hospitals · Pittsburgh, PAPenn Highlands Dubois
Acute Care Hospitals · Dubois, PAUpmc Northwest
Acute Care Hospitals · Seneca, PAClarion Hospital
Acute Care Hospitals · Clarion, PAUpmc Presbyterian Shadyside
Acute Care Hospitals · Pittsburgh, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16346 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 James Mclaughlin's NPI number?
The NPI number for James Mclaughlin is 1841266574. It was assigned to this individual provider in the NPPES registry on February 23, 2006.
Where is James Mclaughlin located?
James Mclaughlin practices at 100 Fairfield Dr, Seneca, PA 16346. The listed phone number is (814) 678-0080.
What is James Mclaughlin's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is James Mclaughlin enrolled in Medicare?
Yes. James 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 James Mclaughlin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Mclaughlin reassigns Medicare benefits to 3 organizations: Upmc Community Medicine Inc (Seneca, PA), University Of Pittsburgh Physicians (Franklin, PA) and Regional Health Services Inc (Erie, PA). 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 James Mclaughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is James Mclaughlin affiliated with any hospitals?
According to CMS data, James Mclaughlin is affiliated with Upmc Mercy, Penn Highlands Dubois, Upmc Northwest, Clarion Hospital and Upmc Presbyterian Shadyside.
When was this NPI record last updated?
The NPPES record for James Mclaughlin was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.