Active NPI 1861552481 Individual Practitioner Male Practitioner

Richard L. Mclaughlin , NP

Nurse Practitioner • Monroe, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Richard Mclaughlin, NP is a certified Nurse Practitioner practicing in Monroe, WI. With approximately 27 years of clinical experience since completing medical education in 1999, Richard Mclaughlin delivers high-quality medical care to the local community at 515 22ND AVE.

Richard Mclaughlin is affiliated with The Monroe Clinic, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

515 22nd Ave

Monroe, WI 535661569

Telephone 6083242000

Associated Practice Facility / Clinic

🏢 The Monroe Clinic, Inc. Facility NPI 1740291491

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Monroe, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +16.0 yrs vs City Avg

City Avg: 11.0 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

31 Specialists

Practicing in Monroe, WI (4030 Statewide)

Telehealth Adoption Rate

32.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mclaughlin (27 Years) 27 Yrs

Monroe Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	245	124	$276.00	$61.97
99238 Hospital discharge day management, 30 minutes or less	95	92	$282.00	$63.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	37	$415.00	$93.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$463.00	$102.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	232	128	$280.78	$64.27
99238 Hospital discharge day management, 30 minutes or less	93	89	$319.61	$65.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	51	$561.00	$105.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	18	$414.00	$96.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	12	$226.00	$39.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	179	71	$298.00	$58.04
99225 Subsequent observation care, typically 25 minutes per day	28	17	$272.00	$57.48
99217 Hospital observation care on day of discharge	21	21	$324.00	$58.12
99239 Hospital discharge day management, more than 30 minutes	19	19	$457.00	$86.25
99238 Hospital discharge day management, 30 minutes or less	12	12	$358.00	$58.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	296	117	$298.00	$58.58
99239 Hospital discharge day management, more than 30 minutes	63	61	$457.00	$86.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	32	$414.00	$84.26
99225 Subsequent observation care, typically 25 minutes per day	44	28	$272.00	$58.68
99217 Hospital observation care on day of discharge	41	41	$324.00	$58.97
99220 Hospital observation care, typically 70 minutes	26	25	$671.00	$148.38
99219 Hospital observation care, typically 50 minutes	19	19	$548.00	$109.44
36410 Insertion of needle into vein, patient 3 years or older	17	15	$174.00	$7.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$795.00	$163.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$637.00	$110.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	296	146	$284.00	$60.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	124	63	$394.00	$86.73
99239 Hospital discharge day management, more than 30 minutes	103	98	$435.00	$88.90
99217 Hospital observation care on day of discharge	44	42	$309.00	$60.65
99220 Hospital observation care, typically 70 minutes	39	37	$639.00	$154.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$757.00	$167.94
99225 Subsequent observation care, typically 25 minutes per day	28	22	$259.00	$60.78
36410 Insertion of needle into vein, patient 3 years or older	15	15	$149.00	$7.81
76937 Ultrasonic guidance for blood vessel access	11	11	$168.00	$12.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	366	160	$394.00	$85.44
99239 Hospital discharge day management, more than 30 minutes	142	136	$435.00	$88.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	70	$284.00	$58.84
99217 Hospital observation care on day of discharge	60	60	$309.00	$59.91
99220 Hospital observation care, typically 70 minutes	43	43	$639.00	$149.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	36	$757.00	$162.47
76937 Ultrasonic guidance for blood vessel access	16	12	$167.65	$12.02
99226 Subsequent observation care, typically 35 minutes per day	15	11	$359.00	$86.58
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	11	$1441.00	$70.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	394	169	$376.00	$85.03
99239 Hospital discharge day management, more than 30 minutes	139	135	$418.00	$88.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	58	$723.00	$165.08
99217 Hospital observation care on day of discharge	60	56	$295.00	$59.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	23	$273.00	$59.33
99220 Hospital observation care, typically 70 minutes	33	32	$610.00	$151.94
36569 Insertion of central venous catheter for infusion, patient 5 years or older	15	15	$1648.00	$70.34
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	14	14	$1455.50	$74.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	326	126	$376.00	$85.20
99239 Hospital discharge day management, more than 30 minutes	98	93	$418.00	$87.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	41	$723.00	$165.22
99217 Hospital observation care on day of discharge	42	42	$295.00	$59.46
36569 Insertion of central venous catheter for infusion, patient 5 years or older	33	31	$1573.00	$76.05
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	19	15	$1323.00	$98.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$273.00	$59.02
99220 Hospital observation care, typically 70 minutes	14	14	$610.00	$151.76
36620 Insertion of artery tube for blood sampling or infusion through skin	13	12	$499.00	$42.20
76937 Ultrasonic guidance for blood vessel access	12	11	$155.00	$11.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$555.91	$111.68

Medical Specialties & State Licenses

CMS Verified: 2021-03-22

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209003091

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 041-258740

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

NON-PARTICIPATING (IL)

Hospital & Practice Group Affiliations

The Monroe Clinic, Inc.

515 22nd Ave, Monroe, WI 535661569

Phone: 6083242000

Secondary Practice Locations

1235 North Mulford Road, Suite 103

Rockford, IL 611073879

Phone: 8156360700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

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Emergency Medicine

NPI 1023198215

Doctor of Medicine (M.D.)

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Family Medicine

NPI 1023639135

Dr. Lindsey Houle , DNP, PMHNP-BC

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Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Mohammad Saleem

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NPI 1043196025

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 22, 2021

Registered at 515 22ND AVE, MONROE, WI 535661569 (Tel: 6083242000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2021

Nurse Practitioner (License #041-258740 in IL)

✅

NPI Profile Active May 10, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2016

Registered at 1235 NORTH MULFORD ROAD, SUITE 103, ROCKFORD, IL 611073879 (Tel: 8156360700)

📍

Updated Business Mailing Address May 10, 2016

Registered at 1235 NORTH MULFORD ROAD, SUITE 103, ROCKFORD, IL 611073879 (Tel: 8156360700)

👤

Provider Name / Credentials Updated May 10, 2016

Recorded as RICHARD MCLAUGHLIN, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2016

Nurse Practitioner (License #209003091 in IL)

🟢

Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861552481

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 12, 2006

Last Update: March 22, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1235 North Mulford Road, Suite 103

Rockford, IL 611073879

Phone: 8156360700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.