DR. MICHAEL TIMOTHY LOUGHLIN D.O.
NPI 1003043647
Internal Medicine - Gastroenterology in Beavercreek, OH

Q: What is Michael Loughlin's NPI number?

The NPI number for Michael Loughlin is 1003043647. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Q: What is Michael Loughlin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Michael Loughlin was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment

96.14/100

CMS Quality Rating

75 SYLVANIA DR, BEAVERCREEK, OH 45440(937) 320-5050(937) 320-5060 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 28, 2025, Jun 27, 2018 (2 updates tracked since 2018).

On this page

About Dr. Michael Timothy Loughlin D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL TIMOTHY LOUGHLIN D.O. (NPI 1003043647) is an individual gastroenterology provider in Beavercreek, Ohio, licensed in Ohio (34.013224) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1003043647

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. MICHAEL TIMOTHY LOUGHLINCredential: D.O.

Location Address75 SYLVANIA DRBeavercreek, OH 45440

Mailing AddressOne Gi Credentialing Department, Po Box 381468Germantown, TN 38183-3237

Phone(937) 320-5050

Fax(937) 320-5060

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2009

Enumeration DateJune 22, 2009

Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2026

✔ NPI 1003043647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OH · 34.013224

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

75 SYLVANIA DR, Beavercreek, OH 45440

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Secondary Practice Locations 3

Location 14200 Indian Ripple RdDayton, OH 45440-3248 · Phone (937) 320-5050

Location 29000 N Main St Ste 405Englewood, OH 45415-1170 · Phone (937) 320-5050

Location 3415 Byers Rd Ste 100Miamisburg, OH 45342-3684 · Phone (937) 320-5050

Other Identifiers 1

Medicaid0267665OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Timothy Loughlin D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931345386

PECOS Enrollment IDI20180718000606

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Loughlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dayton Gastroenterology LLC

Same address

Gastroenterology

75 SYLVANIA DR
Dayton, OH 45440

Reassigned Medicare billing, Ohio enrollment
74 clinicians in this Medicare group

NPI 1134345705 (937) 320-5050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

136 services107 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

120 services119 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

107 services88 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

76 services75 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

73 services73 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

71 services15 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

68 services15 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

33 services23 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

29 services29 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

23 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services20 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

11 services11 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360239

Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County

Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.14/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

87.13

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA ANN CURTIS CRNA

Nurse Anesthetist, Certified Registered

75 SYLVANIA DR
BEAVERCREEK, OH 45440

Montgomery County (937) 320-5050

DR. MICHAEL W GORSKY M.D.

Internal Medicine (Gastroenterology)

75 SYLVANIA DR
BEAVERCREEK, OH 45440

Montgomery County (937) 320-5050

JONATHAN C SAXE M.D.

Internal Medicine (Gastroenterology)

75 SYLVANIA DR
DAYTON, OH 45440

Montgomery County (937) 320-5050

RHONDA S ARNOLD ACNP

Nurse Practitioner

75 SYLVANIA DR
DAYTON, OH 45440

Montgomery County (937) 320-5050

MICHELLE A ORTMAN P.A.-C

Physician Assistant

75 SYLVANIA DR
BEAVERCREEK, OH 45440

Montgomery County (937) 320-5050

KALYAN MOHAN BHOOPAL M.D.

Internal Medicine (Gastroenterology)

75 SYLVANIA DR
DAYTON, OH 45440

Montgomery County (937) 320-5050

ELLEN K RATAY APRN

Nurse Practitioner (Acute Care)

75 SYLVANIA DR
BEAVERCREEK, OH 45440

Montgomery County (937) 320-5050

DAYTON GASTROENTEROLOGY LLC

Internal Medicine (Gastroenterology)

75 SYLVANIA DR
DAYTON, OH 45440

Montgomery County (937) 320-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Loughlin's NPI number?

The NPI number for Michael Loughlin is 1003043647. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Michael Loughlin located?

Michael Loughlin practices at 75 Sylvania Dr, Beavercreek, OH 45440. The listed phone number is (937) 320-5050.

What is Michael Loughlin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Loughlin enrolled in Medicare?

Yes. Michael Loughlin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Loughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Loughlin reassigns Medicare benefits to Dayton Gastroenterology LLC (Dayton, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Loughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Loughlin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Michael Loughlin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Loughlin affiliated with any hospitals?

According to CMS data, Michael Loughlin is affiliated with Miami Valley Hospital, Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Loughlin was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.