DR. TERESE J LAUGHLIN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1265474118

DR. TERESE J LAUGHLIN (DPM) is a healthcare provider. based in Jacksonville, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016004832 (IL). The NPI Number for DR. TERESE J LAUGHLIN (DPM) is 1265474118

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. TERESE J LAUGHLIN (DPM)
NPI
1265474118
Phone
(217) 243-1101
Address
1515 W WALNUT ST
Enumeration Date
12 June 2006
Last Update Date
1 October 2014

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
2176989722
Graduation Year
1994 (32 years ago)
PAC ID
3971627290
Group Practice PAC ID
5092857821
Professional Enrollment ID
I20100824000220
Address ID
IL627047439SP2901XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,038 PODIATRY in IL

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Provider Addresses for DR. TERESE J LAUGHLIN (DPM)

  • 1515, West Walnut Street, Jacksonville, Morgan County, Illinois, 62650, United States

    SUITE 12

    JACKSONVILLE, IL 626501150

    Phone: (217) 243-1101

    Fax: (217) 243-5003

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $474.

Total Amount is formed as General ($474) + Research ($0) + Ownership ($0) = $474.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Horizon Therapeutics plc ($247).

Total Amount

$474

General + Research + Ownership

Payments

10

Total payment records

General Amount

$474

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100824000220IPodiatryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails770306$0
99213Established patient office or other outpatient visit, 20-29 minutes343190$0
11056Removal of noncancer thickened skin growth, 2-4 growths17499$0
11042Removal of skin and tissue, 20.0 sq cm or less11830$0
97597Removal of tissue from wound, 20.0 sq cm or less9436$0
View full utilization report →

Insurance plans in this area (ZIP 62650)

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Provider's Procedures

DR. TERESE J LAUGHLIN (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL11042Removal of skin and tissue first 20 sq cm or less10723
PODIATRYIL11720Removal of tissue from 1 to 5 finger or toe nails6151
PODIATRYIL73630X-ray of foot, minimum of 3 views8545

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092857821View full group profile

Reviews

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Frequently asked questions

Is DR. TERESE J LAUGHLIN (DPM) listed with a National Provider Identifier?
Yes — DR. TERESE J LAUGHLIN (DPM) has NPI 1265474118 on file in the registry.
Would DR. TERESE J LAUGHLIN (DPM) appear as active to a payer?
You can treat DR. TERESE J LAUGHLIN (DPM) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. TERESE J LAUGHLIN (DPM)?
DR. TERESE J LAUGHLIN (DPM) is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. TERESE J LAUGHLIN (DPM) located near Jacksonville?
DR. TERESE J LAUGHLIN (DPM) currently maps to Jacksonville, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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