MICHELLE J MCLAUGHLIN OD
NPI 1912213125
Optometrist in Janesville, WI

Active since August 25, 2010PECOS EnrolledAccepts Medicare Assignment
1010 N WASHINGTON ST, JANESVILLE, WI 53548(608) 741-6794(608) 741-3838 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle J Mclaughlin Od NPPES

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

MICHELLE J MCLAUGHLIN OD (NPI 1912213125) is an individual optometrist in Janesville, Wisconsin, licensed in Wisconsin (3189-035) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and is a graduate of Illinois College Of Optometry At Chicago (2010).

NPPES Registry Identity

NPI1912213125
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMICHELLE J MCLAUGHLINCredential: OD
Location Address1010 N WASHINGTON STJanesville, WI 53548-1500
Mailing Address1010 N Washington StJanesville, WI 53548-1500 · (608) 741-6794 · Fax (608) 741-3838
Fax(608) 741-3838
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2010
Enumeration DateAugust 25, 2010
Last NPPES UpdateMarch 17, 2014
NPI 1912213125 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 WI · 3189-035
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.
1010 N WASHINGTON ST, Janesville, WI 53548

Other Identifiers 5

Other1912213125WI · Bcbswi
Medicaid$$$$$$$$$ 1IL
Medicaid1912213125WI
OtherMCLAUMICWI · Mercycare Insurance
Medicare PIN541760966WI

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

Michelle J Mclaughlin 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 ID6406091495
PECOS Enrollment IDI20130321000644
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 5

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.
207 services206 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.
67 services67 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.
57 services56 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).
25 services25 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53548 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Family Medicine
1010 N WASHINGTON ST
JANESVILLE, WI 53548
Durable Medical Equipment & Medical Supplies
1010 N WASHINGTON ST
JANESVILLE, WI 53548
Massage Therapist
1010 N WASHINGTON ST
JANESVILLE, WI 53548
Preventive Medicine (Occupational Medicine)
1010 N WASHINGTON ST
JANESVILLE, WI 53548
Chiropractor
1010 N WASHINGTON ST
JANESVILLE, WI 53548
Optometrist
1010 N WASHINGTON ST
JANESVILLE, WI 53548
Podiatrist
1010 N WASHINGTON ST
JANESVILLE, WI 53548
Family Medicine
1010 N WASHINGTON ST
JANESVILLE, WI 53548

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 Michelle Mclaughlin's NPI number?

The NPI number for Michelle Mclaughlin is 1912213125. It was assigned to this individual provider in the NPPES registry on August 25, 2010.

Where is Michelle Mclaughlin located?

Michelle Mclaughlin practices at 1010 N Washington St, Janesville, WI 53548. The listed phone number is (608) 741-6794.

What is Michelle Mclaughlin's specialty?

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

Is Michelle Mclaughlin enrolled in Medicare?

Yes. Michelle 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 Michelle Mclaughlin accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Michelle 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.

Is Michelle Mclaughlin affiliated with any hospitals?

According to CMS data, Michelle Mclaughlin is affiliated with Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Michelle Mclaughlin was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.