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DR. KEVIN THOMAS MCLAUGHLIN DO
NPI 1912963604
Surgery in Berkeley Springs, WV

Active since April 22, 2006PECOS EnrolledAccepts Medicare Assignment
83 WAR MEMORIAL DRIVE, BERKELEY SPRINGS SURGICAL CORP PC, BERKELEY SPRINGS, WV 25411(304) 258-1070(304) 258-7749 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kevin Thomas Mclaughlin Do NPPES

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

DR. KEVIN THOMAS MCLAUGHLIN DO (NPI 1912963604) is an individual surgery provider in Berkeley Springs, West Virginia, licensed in West Virginia (1658) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Health War Memorial Hospital, and maintains a secondary practice location in Romney.

NPPES Registry Identity

NPI1912963604
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KEVIN THOMAS MCLAUGHLINCredential: DO
Location Address83 WAR MEMORIAL DRIVE, BERKELEY SPRINGS SURGICAL CORP PCBerkeley Springs, WV 25411
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100 · Fax (540) 536-0235
Phone(304) 258-1070
Fax(304) 258-7749
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateApril 22, 2006
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1912963604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WV · 1658
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
83 WAR MEMORIAL DRIVE, Berkeley Springs, WV 25411
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Secondary Practice Location 1

Location 1363 Sunrise BlvdRomney, WV 26757-4607 · Phone (307) 822-4561 · Fax (304) 822-4951

Other Identifiers 1

Medicaid0127101000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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

Dr. Kevin Thomas Mclaughlin Do 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 ID2365404902
PECOS Enrollment IDI20041027000435
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kevin Mclaughlin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

War Memorial Hospital, Inc.
3.9 mi
Rural Health
3774 VALLEY ROAD
Berkeley Springs, WV 25411
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1467450353 (West Virginia)
  • 158 clinicians in this Medicare group
NPI 1013489541 (304) 258-9433
Berkeley -Morgan County Board Of Health
16 mi
Public Health or Welfare
122 WAVERLY CT
Martinsburg, WV 25403
  • Reassigned Medicare billing, West Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1265606743 (304) 263-5131
Hampshire Memorial Hospital, Inc.
33 mi
Critical Access
363 SUNRISE BLVD
Romney, WV 26757
  • Reassigned Medicare billing, West Virginia enrollment
  • 26 clinicians in this Medicare group
NPI 1396897203 (304) 822-4561

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 2

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
83 services83 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
75 services75 patients

Hospital Affiliations CMS Care Compare

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

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511309
Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25411 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAR MEMORIAL HOSPITAL, INC.
Family Medicine
83 WAR MEMORIAL DRIVE
BERKELEY SPRINGS, WV 25411
Morgan County (304) 258-0506
WAR MEMORIAL HOSPITAL, INC.
Surgery
83 WAR MEMORIAL DRIVE
BERKELEY SPRINGS, WV 25411
Morgan County (304) 258-0506

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 Kevin Mclaughlin's NPI number?

The NPI number for Kevin Mclaughlin is 1912963604. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Kevin Mclaughlin located?

Kevin Mclaughlin practices at 83 War Memorial Drive Berkeley Springs Surgical Corp PC, Berkeley Springs, WV 25411. The listed phone number is (304) 258-1070.

What is Kevin Mclaughlin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kevin Mclaughlin enrolled in Medicare?

Yes. Kevin 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 Kevin Mclaughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Mclaughlin reassigns Medicare benefits to 3 organizations: War Memorial Hospital, Inc. (Berkeley Springs, WV), Berkeley -Morgan County Board Of Health (Martinsburg, WV) and Hampshire Memorial Hospital, Inc. (Romney, WV). 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 Kevin Mclaughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Mclaughlin accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Kevin 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 Kevin Mclaughlin affiliated with any hospitals?

According to CMS data, Kevin Mclaughlin is affiliated with Valley Health War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Mclaughlin was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.