JAMES MCLAUGHLIN
NPI 1841266574
Psychiatry & Neurology - Neurology in Seneca, PA

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
100 FAIRFIELD DR, SENECA, PA 16346(814) 678-0080 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1841266574
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJAMES MCLAUGHLIN
Location Address100 FAIRFIELD DRSeneca, PA 16346-2130
Mailing Address200 Lothrop St, Forbes Tower, Suite 9055Pittsburgh, PA 15213-2536
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1983
Enumeration DateFebruary 23, 2006
Last NPPES UpdateApril 6, 2021
NPI 1841266574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in PA · OS005521L
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
100 FAIRFIELD DR, Seneca, PA 16346

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

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.

PECOS PAC ID4486686763
PECOS Enrollment IDI20061211000164
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 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.

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.
218 services186 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
87 services74 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
63 services57 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.
53 services53 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
31 services31 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
29 services28 patients

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, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Clarion Hospital

Acute Care Hospitals · Clarion, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390093
LocationOne Hospital DriveClarion, PA 16214 · Clarion County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Titusville Area Hospital

Critical Access Hospitals · Titusville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391314
Location406 West Oak StreetTitusville, PA 16354 · Crawford County
Emergency services

Physician 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.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
2 suppliers11 claims11 services$11.47 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.

Occupational Therapy Assistant
100 FAIRFIELD DR
SENECA, PA 16346
Physical Therapy Assistant
100 FAIRFIELD DR
SENECA, PA 16346
Psychiatric Unit
100 FAIRFIELD DR
SENECA, PA 16346
Obstetrics & Gynecology
100 FAIRFIELD DR
SENECA, PA 16346
Registered Nurse
100 FAIRFIELD DR
SENECA, PA 16346
Internal Medicine
100 FAIRFIELD DR
SENECA, PA 16346
Physical Therapist
100 FAIRFIELD DR
SENECA, PA 16346
Physical Therapy Assistant
100 FAIRFIELD DR
SENECA, PA 16346

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.

Is James Mclaughlin affiliated with any hospitals?

According to CMS data, James Mclaughlin is affiliated with Upmc Mercy, Upmc Northwest, Clarion Hospital, Upmc Presbyterian Shadyside and Titusville Area Hospital.

When was this NPI record last updated?

The NPPES record for James Mclaughlin was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.