DR. ARTHUR J. MCLAUGHLIN II M.D.
NPI 1992797054
Radiology - Diagnostic Radiology in Louisville, KY

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
4004 DUPONT CIR, STE 230, LOUISVILLE, KY 40207(502) 893-1333(502) 899-9567 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Arthur J. Mclaughlin Ii M.d. NPPES

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

DR. ARTHUR J. MCLAUGHLIN II M.D. (NPI 1992797054) is an individual diagnostic radiology provider in Louisville, Kentucky, licensed in Kentucky (19164) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of University Of Kentucky College Of Medicine (1976).

NPPES Registry Identity

NPI1992797054
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. ARTHUR J. MCLAUGHLIN IICredential: M.D.
Location Address4004 DUPONT CIR, STE 230Louisville, KY 40207-4819
Mailing Address2700 Stanley Gault Pkwy, Ste 129Louisville, KY 40223-5176 · (502) 253-4917 · Fax (502) 489-5751
Fax(502) 899-9567
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1976
Enumeration DateAugust 16, 2005
Last NPPES UpdateJanuary 6, 2016
NPI 1992797054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in KY · 19164
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4004 DUPONT CIR, Louisville, KY 40207

Other Identifiers 2

Medicaid64191646KY
Medicare UPINC69168KY

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

Dr. Arthur J. Mclaughlin Ii M.d. 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 ID2466435920
PECOS Enrollment IDI20100128000100
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 10

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
955 services955 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
950 services950 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
140 services132 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
116 services110 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
100 services100 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
100 services100 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
4004 DUPONT CIR
LOUISVILLE, KY 40207
Audiologist
4004 DUPONT CIR, STE 220
LOUISVILLE, KY 40207
Ophthalmology
4004 DUPONT CIR
LOUISVILLE, KY 40207
Otolaryngology
4004 DUPONT CIR, SUITE 220
LOUISVILLE, KY 40207
Audiologist
4004 DUPONT CIR, SUITE 220
LOUISVILLE, KY 40207
Radiology (Diagnostic Radiology)
4004 DUPONT CIR, SUITE 230
LOUISVILLE, KY 40207
Ophthalmology
4004 DUPONT CIR
LOUISVILLE, KY 40207
Ophthalmology
4004 DUPONT CIR
LOUISVILLE, KY 40207

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 Arthur Mclaughlin's NPI number?

The NPI number for Arthur Mclaughlin is 1992797054. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Arthur Mclaughlin located?

Arthur Mclaughlin practices at 4004 Dupont Cir Ste 230, Louisville, KY 40207. The listed phone number is (502) 893-1333.

What is Arthur Mclaughlin's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Arthur Mclaughlin enrolled in Medicare?

Yes. Arthur 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 Arthur Mclaughlin accept?

Health plans from CareSource list Arthur 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 Arthur Mclaughlin affiliated with any hospitals?

According to CMS data, Arthur Mclaughlin is affiliated with Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Arthur Mclaughlin was last updated on January 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.