DR. JAMES MARTIN MCLOUGHLIN (M.D.) – Surgical Oncology Physician, NPI 1376745653
Surgical Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
66 SURGICAL ONCOLOGY in TN
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Provider Addresses for DR. JAMES MARTIN MCLOUGHLIN (M.D.)
Alcoa Highway, Topside, Knoxville, Knox County, Tennessee, 37920, United States
SUITE 476
KNOXVILLE, TN 379201524
Phone: (865) 544-9218
Fax: (865) 305-8262
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 35 Open Payments records for all available years, with a total value of $1,035.
Total Amount is formed as General ($1,035) + Research ($0) + Ownership ($0) = $1,035.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($256).
Total Amount
$1,035
General + Research + Ownership
Payments
35
Total payment records
General Amount
$1,035
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $256 |
| Merck Sharp & Dohme LLC | $124 |
| Medtronic, Inc. | $114 |
| Genentech USA, Inc. | $50 |
| PFIZER INC. | $49 |
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: 2012-03-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120307000645 | I | Surgical Oncology | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 39 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 47 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 20 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 19 | 18 | $0 |
| 49905 | Repair of abdomen using abdominal lining graft | 13 | 13 | $0 |
Insurance plans in this area (ZIP 37920)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Certified Nurse Midwife (Cnm) | TN | |
| - | TN | |
| Surgical Oncology | TN | |
| - | SC | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN |
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