Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Suzanne E Mclaughlin , MD

Internal Medicine • Providence, RI

Active NPI 1215919782 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

593 Eddy St, Pob-224 Med/peds Clinic
Providence, RI 029034923

Call 4014446118 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St
Pob-224 Med/peds Clinic

Providence, RI 029034923

Telephone 4014446118
Fax 4014448804
Organization at the Same NPPES Address or Phone
Rhode Island Hospital Facility NPI 1588659528

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Rhode Island Hospital. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Connecticut School Of Medicine

Graduation Year

1998

Medicare patients

23 people with Original Medicare in 2022

Different Original Medicare patients in 2022; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2022.

Medicare-allowed amount

About $2,611 in 2022

The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022.

Paid by Medicare

About $1,954 in 2022

The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022.

30-day fills

791 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$36,290 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

28 years (graduated 1998)

CMS Doctors and Clinicians data list 1998 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mclaughlin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mclaughlin as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Providence and Rhode Island

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Internal Medicine in Providence, RI (2024, 237 clinicians with data). Median for this group: 176. Middle half: 42 to 848.

Close to the middle for clinicians listed under Internal Medicine in Rhode Island (2024, 581 clinicians with data). Median for this group: 812. Middle half: 90 to 5,129.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Internal Medicine in Providence, RI (2024, 237 clinicians with data). Median for this group: $13,641. Middle half: $582 to $103,395.

Close to the middle for clinicians listed under Internal Medicine in Rhode Island (2024, 581 clinicians with data). Median for this group: $63,912. Middle half: $3,760 to $365,044.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Mclaughlin are from 2022.

502 active clinicians are listed under Internal Medicine with a practice address in Providence, RI (1,032 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Providence

9.8% of these 502 clinicians have the CMS telehealth indicator.

51% of these 502 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2022.

CMS Part B · Data Year 2022
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2021–2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
26 13 $303.00 $100.44

Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Omeprazole Omeprazole 33 2,794 $790.88 —
Atorvastatin Calcium Atorvastatin Calcium 31 2,290 $461.46 11
Amlodipine Besylate Amlodipine Besylate 29 2,450 $361.12 —
Metformin Hcl Er Metformin Hcl 29 1,410 $138.57 —
Lisinopril Lisinopril 27 1,930 $243.82 —
Ibuprofen Ibuprofen 24 467 $206.93 —
Levothyroxine Sodium Levothyroxine Sodium 23 1,608 $296.17 —
Gabapentin Gabapentin 22 834 $337.68 —
Losartan Potassium Losartan Potassium 20 1,440 $340.98 —
Famotidine Famotidine 19 869 $172.38 —
Diclofenac Sodium Diclofenac Sodium 17 360 $350.33 —
Tamsulosin Hcl Tamsulosin Hcl 16 820 $84.75 —
Trazodone Hcl Trazodone Hcl 16 486 $118.51 —
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 15 430 $101.07 —
Carvedilol Carvedilol 14 458 $171.15 —
Montelukast Sodium Montelukast Sodium 14 640 $590.95 —
Ketoconazole Ketoconazole 13 360 $185.80 —
Fluticasone-Salmeterol Fluticasone Propion/Salmeterol 13 390 $1,187.81 —
Fluoxetine Hcl Fluoxetine Hcl 12 450 $33.11 —
Valacyclovir Valacyclovir Hcl 12 728 $687.68 —
Albuterol Sulfate Hfa Albuterol Sulfate 12 292 $387.96 —
Dextroamphetamine-Amphetamine Dextroamphetamine/Amphetamine 11 330 $305.05 —
Jardiance Empagliflozin 11 690 $12,419.99 —
Wegovy Semaglutide 11 364 $16,315.97 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES RI MD12823

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES RI MD12823

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20081208000686

Enrollment State Jurisdiction

RI

PECOS Control ID

9335112515

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Rhode Island Hospital

245 Chapman St, Providence, RI 029054539

Phone: 4014446118

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Su Aung , MD

Internal Medicine - Infectious Disease

NPI 1649513805

Doctor of Medicine (M.D.)

Dr. Justin Berk , MD

Internal Medicine

NPI 1245625300

Doctor of Medicine (M.D.)

Dr. Sybil Cineas , MD

Internal Medicine

NPI 1053364984

Doctor of Medicine (M.D.)

NPI 1083053896

Doctor of Medicine (M.D.)

Dr. Tamara Lhungay , MD

Internal Medicine

NPI 1013557610

Doctor of Medicine (M.D.)

Dr. Matthew Lorenz , MD

Internal Medicine

NPI 1740661016

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
âś…
NPI Profile Active December 02, 2010

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) December 02, 2010

Registered at 593 EDDY ST, POB-224 MED/PEDS CLINIC, PROVIDENCE, RI 029034923 (Tel: 4014446118)

📍
Business Mailing Address (Initial Record) December 02, 2010

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014446118)

👤
Provider Name / Credentials (Initial Record) December 02, 2010

Recorded as SUZANNE MCLAUGHLIN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2010

Internal Medicine (license number reported to NPPES: RI MD12823)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2010

Pediatrics (license number reported to NPPES: RI MD12823)

🟢
Initial NPI Registration & Enumeration November 18, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215919782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2005
Last Update: December 02, 2010
Sole Proprietor: No

Other Internal Medicine Providers in Providence

All Internal Medicine Providers in Providence

Mailing Address

593 Eddy St

Providence, RI 029034923

Phone: 4014446118

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.