NPI registry status
Active
2026 NPPES data Cardiovascular Disease Physician NPI 1497288393 MD
Verify on CMS → Terence McLaughlin, MD
Cardiovascular Disease Physician in Rochester, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,795 in Cardiovascular Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
136
Medicare Part D claims · 69 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.2/100
▲ 7 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Terence McLaughlin, MD reported a CMS MIPS final score of 90.2/100 - above the 83.1 national average - and filed 136 Medicare Part D claims in 2023.
- 90.2/100
- MIPS score · +7 vs avg
- 136
- Part D claims, 2023
- 92%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Terence McLaughlin, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 40% higher than 60% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Terence McLaughlin, MD sits
This provider among cardiovascular disease physician peers
Across the 8,753 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Terence McLaughlin, MD writes more Part D claims than 5% of them and scores higher on MIPS quality than 61% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Terence McLaughlin, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Terence McLaughlin, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Terence McLaughlin, MD?
High performer (top quartile)Primary specialty
Cardiovascular Disease Physician
Medicare Part D claims
136 96% vs specialty avg
MIPS final score
90.2/100 7.1 pts vs avg
Specialty distribution in New York
How Cardiovascular Disease Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Terence McLaughlin, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average
- MIPS Final Score
- 90.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Cardiovascular Disease Physician) - 90.2/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Terence McLaughlin, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 140 CANAL VIEW BLVD STE 102, Rochester, NY, 14623, with a listed phone of (585) 338-2700. NPI 1497288393 was issued on 04/06/2017.
Medicare Part D records for calendar year 2023 show 136 prescription claims written by this provider, covering 69 Medicare beneficiaries and totaling roughly $12K in drug spend, split 8% brand-name and 92% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.2/100 for the 2023 performance year (Quality 74.7, Cost 70.3), compared with the national average of 83.1.
Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1497288393 |
|---|---|
| Specialty | Cardiovascular Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/06/2017 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.2334
Final Score
Avg: 83.1
74.688
Quality
70.2532
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Terence McLaughlin, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
St James Hospital
★★★☆☆ 3/5
Hornell, NY
Acute Care Hospitals
CMS CCN: 330151
Cardiology Clinical Group
Rochester, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Terence McLaughlin, MD. To verify Terence McLaughlin, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Terence McLaughlin, MD - brand share 8.0%
Cardiovascular Disease Physician average
8% brand-name claims vs 92% generic, on 136 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
136
Total Claims
$12K
Total Drug Cost
69
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 282
- Total Day Supply
- 8,324
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $9K
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 74.8 years
- Avg HCC Risk Score
- 1.14
- Gender Split
- 42% female / 58% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Terence McLaughlin, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Rosuvastatin Calcium
Rosuvastatin Calcium
25 claims
- Amlodipine Besylate
Amlodipine Besylate
13 claims
- Metoprolol Succinate
Metoprolol Succinate
13 claims
| Drug | Claims |
|---|---|
| Rosuvastatin Calcium | 25 |
| Amlodipine Besylate | 13 |
| Metoprolol Succinate | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Cardiovascular Disease Physician Overview
How Terence McLaughlin, MD fits within the Cardiovascular Disease Physician landscape nationally.
24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider
Terence McLaughlin, MD's 136 claims are below the specialty average of 3,033.
Nearby Cardiovascular Disease Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as McLaughlin.
Dr. Michael Aaron
MD
West Islip, NY
Dr. Vivian Abascal
MD
Richmond Hill, NY
Dr. Joseph Abboud
MD
Brooklyn, NY
Dr. Mohamed Abdel-Aal Ahmed
M.D.
Buffalo, NY
Dr. Khaled Abdulla
M.D.
Rochester, NY
Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Cardiovascular Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Terence McLaughlin, MD's specialty? ▼
Terence McLaughlin, MD specializes in Cardiovascular Disease Physician and practices in Rochester, New York. Credentials: MD.
How much does Terence McLaughlin, MD prescribe under Medicare Part D? ▼
In 2023, Terence McLaughlin, MD wrote 136 Medicare Part D claims totaling $12K in drug costs for 69 beneficiaries.
What is Terence McLaughlin, MD's Medicare quality score? ▼
Terence McLaughlin, MD has a CMS MIPS Final Score of 90.2/100 (Quality: 74.7, Cost: 70.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Terence McLaughlin, MD located? ▼
Terence McLaughlin, MD is located at 140 CANAL VIEW BLVD STE 102, Rochester, NY, 14623. Phone: (585) 338-2700.
What is Terence McLaughlin, MD's NPI number? ▼
Terence McLaughlin, MD's National Provider Identifier (NPI) is 1497288393, issued on 04/06/2017.
Does Terence McLaughlin, MD prescribe more brand-name or generic drugs? ▼
Terence McLaughlin, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $9K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US? ▼
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does Terence McLaughlin, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Terence McLaughlin, MD's most frequently prescribed drugs include Rosuvastatin Calcium, Amlodipine Besylate, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Terence McLaughlin, MD accept Medicare? ▼
Terence McLaughlin, MD appears in CMS Medicare data with 136 Part D claims and 69 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Terence McLaughlin, MD's credentials? ▼
Terence McLaughlin, MD's NPI is 1497288393 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.