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DR. MICHAEL DAVID MCLAUGHLIN DO
NPI 1972253896
Ophthalmology in Grove City, OH

Active since March 24, 2022PECOS EnrolledAccepts Medicare Assignment
1600 GATEWAY CIR, GROVE CITY, OH 43123(614) 274-2020(614) 272-8059 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2026, Apr 19, 2022 (2 updates tracked since 2022).

About Dr. Michael David Mclaughlin Do NPPES

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

DR. MICHAEL DAVID MCLAUGHLIN DO (NPI 1972253896) is an individual ophthalmology provider in Grove City, Ohio, licensed in Ohio (34.018578) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2022).

NPPES Registry Identity

NPI1972253896
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL DAVID MCLAUGHLINCredential: DO
Location Address1600 GATEWAY CIRGrove City, OH 43123-8650
Mailing Address262 Neil Ave Ste 430Columbus, OH 43215-7312 · (614) 221-7464 · Fax (614) 999-9235
Phone(614) 274-2020
Fax(614) 272-8059
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2022
Enumeration DateMarch 24, 2022
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1972253896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OH · 34.018578
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1600 GATEWAY CIR, Grove City, OH 43123
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Dr. Michael David 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 ID5890173835
PECOS Enrollment IDI20260702004142
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 Reassignment

Medicare enrollment records show Michael Mclaughlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Physicians, LLC
5.9 mi
Ophthalmology
262 NEIL AVE STE 430
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 47 clinicians in this Medicare group
NPI 1740814516 (614) 221-7464

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43123 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 5

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

DR. JAMES GARRET MOUSER M.D.
Ophthalmology
1600 GATEWAY CIR
GROVE CITY, OH 43123
Franklin County (614) 274-2020
JEFFREY D HUTCHISON DO
Ophthalmology
1600 GATEWAY CIR
GROVE CITY, OH 43123
Franklin County (614) 274-2020
DR. JAMES LLOYD MOSES M.D.
Ophthalmology
1600 GATEWAY CIR
GROVE CITY, OH 43123
Franklin County (614) 274-2020
EYE PHYSICIANS, LLC
Durable Medical Equipment & Medical Supplies
1600 GATEWAY CIR
GROVE CITY, OH 43123
Franklin County (614) 274-2020
DR. JENNIFER MARIE BOGUCKI MD
Ophthalmology
1600 GATEWAY CIR
GROVE CITY, OH 43123
Franklin County (614) 274-2020

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 Michael Mclaughlin's NPI number?

The NPI number for Michael Mclaughlin is 1972253896. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Michael Mclaughlin located?

Michael Mclaughlin practices at 1600 Gateway Cir, Grove City, OH 43123. The listed phone number is (614) 274-2020.

What is Michael Mclaughlin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Mclaughlin enrolled in Medicare?

Yes. Michael 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 organization bills Medicare for Michael Mclaughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mclaughlin reassigns Medicare benefits to Eye Physicians, LLC (Columbus, OH). The 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 Michael Mclaughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mclaughlin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Michael 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 Michael Mclaughlin was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.