DEBBRA A MCGLAUGHLIN FNP
NPI 1922030527
Nurse Practitioner in Madawaska, ME

Q: What is Debbra Mcglaughlin's NPI number?

The NPI number for Debbra Mcglaughlin is 1922030527. It was assigned to this individual provider in the NPPES registry on July 6, 2006. The provider is also known as Debbra A Babin.

Q: What is Debbra Mcglaughlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 06, 2006PECOS Enrolled

88.54/100

CMS Quality Rating

460 MAIN ST, SUITE 201, MADAWASKA, ME 04756(207) 728-7300(207) 728-7838 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Debbra A Mcglaughlin Fnp NPPES

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

DEBBRA A MCGLAUGHLIN FNP (NPI 1922030527) is an individual nurse practitioner in Madawaska, Maine, licensed in Maine (035042) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922030527

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDEBBRA A MCGLAUGHLINCredential: FNP

Location Address460 MAIN ST, SUITE 201Madawaska, ME 04756-1014

Mailing Address460 Main St, Suite 201Madawaska, ME 04756-1014 · (207) 728-7300 · Fax (207) 728-7838

Phone(207) 728-7300

Fax(207) 728-7838

Sole ProprietorNo

Enumeration DateJuly 6, 2006

Last NPPES UpdateFebruary 21, 2017

✔ NPI 1922030527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ME · 035042

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

460 MAIN ST, Madawaska, ME 04756

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Other Names 1

Former Name (1)Debbra A Babin

Other Identifiers 3

Medicare UPINP64989

Medicare PINNP3861ME

Medicaid254620099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debbra A Mcglaughlin Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108

This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.

22 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04756 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

88.54/100

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

Scored as part of a group practice

Quality

81.34

Promoting Interoperability

100

Improvement Activities

Cost

63.8

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

2 suppliers11 claims143 services$19.44 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

2 suppliers11 claims468 services$2.42 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers45 claims112 services$6.10 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers16 claims19 services$1.17 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4388

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$4.22 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers21 claims40 services$1.67 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers56 claims57 services$20.53 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers42 claims42 services$7.47 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers11 claims11 services$317.24 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers119 claims120 services$111.61 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$35.00 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims720 services$4.41 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers43 claims9,062 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers35 claims2,460 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers14 claims810 services$0.79 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims540 services$0.16 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers55 claims57 services$185.18 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers82 claims82 services$23.95 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 9

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

SILWANA SIDORCZUK MD

Family Medicine

460 MAIN ST, SUITE 201
MADAWASKA, ME 04756

Aroostook County (207) 728-7300

INEZ JOAN BUTLER APRN

Nurse Practitioner

460 MAIN ST, SUITE 104
MADAWASKA, ME 04756

Aroostook County (207) 728-6359

DR. MELISSA CRCHOVA M.D.

Psychiatry & Neurology (Psychiatry)

460 MAIN ST, SUITE 104
MADAWASKA, ME 04756

Aroostook County (207) 728-6359

NORTHERN MAINE MEDICAL CENTER

Clinic/Center (Multi-Specialty)

460 MAIN ST
MADAWASKA, ME 04756

Aroostook County (207) 728-6359

JENNIFER MARIE BRESETT FNP

Nurse Practitioner

460 MAIN ST, SUITE 201
MADAWASKA, ME 04756

Aroostook County (207) 728-7300

JOSHUA TANNER KING PT, DPT

Physical Therapist

460 MAIN ST
MADAWASKA, ME 04756

Aroostook County (207) 834-3387

MR. JOHN PHILIP DOUCETTE P.T.

Physical Therapist

460 MAIN ST, STE 10
MADAWASKA, ME 04756

Aroostook County (207) 728-7778

VALERIE V CORMIER PTA

Physical Therapy Assistant

460 MAIN ST, SUITE 10
MADAWASKA, ME 04756

Aroostook County (207) 728-7778

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 Debbra Mcglaughlin's NPI number?

The NPI number for Debbra Mcglaughlin is 1922030527. It was assigned to this individual provider in the NPPES registry on July 6, 2006. The provider is also known as Debbra A Babin.

Where is Debbra Mcglaughlin located?

Debbra Mcglaughlin practices at 460 Main St Suite 201, Madawaska, ME 04756. The listed phone number is (207) 728-7300.

What is Debbra Mcglaughlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Debbra Mcglaughlin enrolled in Medicare?

Yes. Debbra Mcglaughlin is registered in the Medicare PECOS enrollment system.

What insurance does Debbra Mcglaughlin accept?

Health plans from Anthem Blue Cross and Blue Shield list Debbra Mcglaughlin 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.

When was this NPI record last updated?

The NPPES record for Debbra Mcglaughlin was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.