Active NPI
Terese J Laughlin, DPM
- Foot & Ankle Surgery Podiatrist
- Jacksonville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016004832
- Practice address
- 1515 W Walnut St
Suite 12
Jacksonville, IL 62650-1150 - Phone
- (217) 243-1101
- Fax
- (217) 243-5003
- NPI assigned
- Jun 12, 2006
- Last updated
- Oct 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016004832 | IL | Primary |
Addresses
Primary practice location
1515 W Walnut St
Suite 12
Jacksonville, IL 62650-1150
Mailing address
1515 W Walnut St
Suite 12
Jacksonville, IL 62650-1150
Phone (217) 243-1101
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06932011 | Other | IL | BCBS OF ILLINOIS |
| 330738/270056166 | Other | IL | HEALTHLINK PPO |
| P00027606/DA1788 | Other | IL | RAILROAD MEDICARE |
| 016004832/4974780001 | Other | IL | MEDICARE DMERC |
| 034378 | Other | IL | HEALTH ALLIANCE |
| 016004832 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Old Jacksonville Rd
Suite B4
Springfield, IL 62704-7439
Phone (217) 698-9722
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 285 |
| Removal of skin lesions | 38 |
| Removal of nail tissue | 678 |
| Removal or shaving of skin growth | 202 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients |
Locations
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
1515 W Walnut St
Ste 12
Jacksonville, IL 62650
Phone (217) 243-1101
2901 Old Jacksonville Rd
Springfield, IL 62704
Phone (217) 698-9722
2901 Old Jacksonville Rd
Ste B4
Springfield, IL 62704
Phone (217) 241-3586
2901 Old Jacksonville Rd
Ste C
Springfield, IL 62704
Phone (217) 546-5949
3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
dba HSHS Medical Group Family Medicine - Dieterich
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, IL
- NPI 1629465414
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mason District Hospital
- Critical Access Hospital
- Havana, IL
- NPI 1902849649
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1265474118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 W WALNUT ST",
"address_2": "SUITE 12",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626501150",
"telephone_number": "217-243-1101",
"fax_number": "217-243-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W WALNUT ST",
"address_2": "SUITE 12",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626501150",
"telephone_number": "217-243-1101",
"fax_number": "217-243-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUGHLIN",
"first_name": "TERESE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016004832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ILLINOIS",
"identifier": "06932011",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PPO",
"identifier": "330738/270056166",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00027606/DA1788",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "016004832/4974780001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "034378",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016004832",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, IL
- Robert A Krueger, D.D.S., M.S.D.
- Annette Kutz Schippel, D.C.
- Jessica Landon
- Jamie Lee Landsverk, FNP-BC
- Bryan M Langan, ATC
- Randall Evert Lawson, D.D.S.
- Catherine Marie Lay
- Donna Marie Leischner, CERTIFIED NURSE PRAC
- Liberty Counseling Center, Inc
- Lice Police Inc (Lice Clinics of America - Jacksonville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.