Terence McLaughlin, MD
NPI 1497288393ActiveIndividual· Internal Medicine, Cardiovascular Disease· Rochester, NY
Internal Medicine, Cardiovascular Disease (MD) with Cardiology Clinical Group and 1 other group, practicing in Rochester, New York. Their prescriptions cost Medicare Part D more than their services did: $418,924 for 2,296 claims, against $39,086 paid for services in 2024. Lilly USA, LLC was the largest of 2 companies reporting payments in 2025, $130.88 in all, mostly food and beverage. Lists Highland Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1497288393 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 6, 2017 |
| Last updated in NPPES | Nov 22, 2023 |
| Certified by provider | Nov 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 323552 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 549 |
|---|---|
| Services billed | 1,066 across 42 procedure codes |
| Paid by Medicare | $39,086 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,296 · 5,542 30-day fills |
|---|---|
| Patients | 571 |
| Total drug cost | $418,924 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Cardiology Clinical GroupRochester, NY · 148 clinicians
- St James HospitalHornell, NY · 124 clinicians
Hospital affiliations
- Highland HospitalRochester, NY
- Jones Memorial HospitalWellsville, NY
- Nicholas H Noyes Memorial HospitalDansville, NY
- St James HospitalHornell, NY
- Strong Memorial HospitalRochester, NY
Industry payments (Open Payments)
- 2025$130.88 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $114.99 | 1 |
| Medtronic, Inc. | $15.89 | 1 |
What the 2025 payments were for
- Food and Beverage$130.88 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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