DR. GERALD BLAKE MCLAUGHLIN D.O.
NPI 1952476996
Hospitalist in Aurora, CO

Q: What is Gerald Mclaughlin's NPI number?

The NPI number for Gerald Mclaughlin is 1952476996. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Q: What is Gerald Mclaughlin's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Mclaughlin was last updated on November 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 22, 2006PECOS Enrolled

13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: November 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Gerald Blake Mclaughlin D.o. NPPES

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

DR. GERALD BLAKE MCLAUGHLIN D.O. (NPI 1952476996) is an individual hospitalist provider in Aurora, Colorado, licensed in Colorado (DR.0051665) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952476996

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. GERALD BLAKE MCLAUGHLINCredential: D.O.

Location Address13123 E 16TH AVEAurora, CO 80045-7106

Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000

Phone(720) 777-1234

Sole ProprietorNo

Enumeration DateNovember 22, 2006

Last NPPES UpdateNovember 17, 2018

✔ NPI 1952476996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CO · DR.0051665

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License DR.0051665 (CO)

13123 E 16TH AVE, Aurora, CO 80045

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Blue Cross Blue Shield of Wyoming, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gerald Blake Mclaughlin D.o. 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.

Medicare Billing Reassignments

Medicare enrollment records show Gerald Mclaughlin reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Health Physicians Colorado LLC

41 mi

Multi-Specialty

222 JOHNSTOWN CENTER DR
Johnstown, CO 80534

Reassigned Medicare billing, Colorado enrollment
324 clinicians in this Medicare group

NPI 1033470737 (970) 587-4974

Banner Health Physicians West LLC

191 mi

Multi-Specialty

2601 N SPRUCE ST
Ogallala, NE 69153

Reassigned Medicare billing, Nebraska enrollment
13 clinicians in this Medicare group

NPI 1154687812 (308) 284-3645

Ogallala Community Hospital

191 mi

Critical Access

2601 N SPRUCE ST
Ogallala, NE 69153

Reassigned Medicare billing, Nebraska enrollment
20 clinicians in this Medicare group

NPI 1710915467 (308) 284-4011

Banner Hospital Based Physicians West LLC

228 mi

Multi-Specialty

1233 E 2ND ST
Casper, WY 82601

Reassigned Medicare billing, Wyoming enrollment
54 clinicians in this Medicare group

NPI 1619464120 (307) 577-2171

Obhg Wyoming PC

228 mi

Obstetrics & Gynecology

1233 E 2ND ST
Casper, WY 82601

Reassigned Medicare billing, Wyoming enrollment
16 clinicians in this Medicare group

NPI 1346055068 (864) 908-3530

Casper Obstetrical And Gynecological Associates PC

228 mi

Obstetrics & Gynecology

150 NORTH MELROSE ST.
Casper, WY 82601

Reassigned Medicare billing, Wyoming enrollment
17 clinicians in this Medicare group

NPI 1134272917 (307) 234-6988

Banner Physician Specialists Arizona LLC

590 mi

Multi-Specialty

2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012

Reassigned Medicare billing, Arizona enrollment
538 clinicians in this Medicare group

NPI 1033730429 (602) 747-4000

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 3

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.

23 services16 patients

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.

16 services11 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

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.

ERIN TERAVEST PA

Physician Assistant (Surgical)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

MELISSA KAY FRAZER AA-C

Anesthesiologist Assistant

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

RACHEL MARIE RANWEILER

Registered Nurse (Neonatal Intensive Care)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-6857

DR. KATHRYN LYN PEGAN AU.D.

Audiologist

13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045

Adams County (720) 777-1961

MRS. KRISTEN L HOLDER FNP-C, APRN-BC

Nurse Practitioner (Psychiatric/Mental Health)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

MRS. JILL M MARKS RN, APN

Nurse Practitioner (Pediatrics)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

MRS. WENDELYN M BARRETT NNP

Registered Nurse (Neonatal Intensive Care)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-6857

DR. TIMOTHY OWEN VANDERKOOY MD

Emergency Medicine (Pediatric Emergency Medicine)

13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

Adams County (720) 777-1234

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 Gerald Mclaughlin's NPI number?

The NPI number for Gerald Mclaughlin is 1952476996. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Gerald Mclaughlin located?

Gerald Mclaughlin practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Gerald Mclaughlin's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gerald Mclaughlin enrolled in Medicare?

Yes. Gerald Mclaughlin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gerald Mclaughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Mclaughlin reassigns Medicare benefits to 7 organizations: Banner Health Physicians Colorado LLC (Johnstown, CO), Banner Health Physicians West LLC (Ogallala, NE), Ogallala Community Hospital (Ogallala, NE), Banner Hospital Based Physicians West LLC (Casper, WY), Obhg Wyoming PC (Casper, WY) and 2 more organizations, listed in the Medicare section above. 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 Gerald Mclaughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerald Mclaughlin accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and UnitedHealthcare list Gerald 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.

When was this NPI record last updated?

The NPPES record for Gerald Mclaughlin was last updated on November 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.