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James D. McLaughlin, MD

NPI 1154316131ActiveIndividual· Internal Medicine, Cardiovascular Disease· Middletown, NY

Internal Medicine, Cardiovascular Disease (MD) in Middletown, New York, trained at State University of New York Downstate Medical Center (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $1,797,090 for 11,867 claims, against $564,059 paid for services in 2024. Novartis Pharmaceuticals Corporation was the largest of 5 companies reporting payments in 2025, $365.60 in all, mostly food and beverage.

Overview

NPI1154316131
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedSep 15, 2005
Last updated in NPPESOct 9, 2020
Certified by providerOct 9, 2020

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Cardiovascular Disease (Cardiology) (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients2,284
Services billed8,973 across 75 procedure codes
Paid by Medicare$564,059

Part D prescriptions in 2024

Prescriptions (claims)11,867 · 30,092 30-day fills
Patients1,427
Total drug cost$1,797,090
Generic share88% of claims

Medicare sources and data years

Education and affiliations

Medical schoolState University of New York Downstate Medical Center
Graduation year1997
Medicare specialtyCardiovascular Disease (Cardiology)
Secondary specialtiesInternal Medicine

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$365.60 · 18 payments from 5 companies
  • 2024$290.51 · 15 payments from 6 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$365.60 · 18 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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