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STEPHEN PAUL LOUGHMAN O.D.
NPI 1043230675
Optometrist in Lenexa, KS

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
88.2/100
CMS Quality Rating
9238 WOODSTONE ST, LENEXA, KS 66219(913) 495-9999(913) 307-0535 Get Directions Write a Review

NPPES record last updated: April 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen Paul Loughman O.d. NPPES

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

STEPHEN PAUL LOUGHMAN O.D. (NPI 1043230675) is an individual optometrist in Lenexa, Kansas, licensed in Missouri (T02949) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1989).

NPPES Registry Identity

NPI1043230675
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSTEPHEN PAUL LOUGHMANCredential: O.D.
Location Address9238 WOODSTONE STLenexa, KS 66219-1958
Mailing Address9238 Woodstone StLenexa, KS 66219-1958 · (913) 495-9999 · Fax (913) 307-0535
Phone(913) 495-9999
Fax(913) 307-0535
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1989
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 13, 2015
✔ NPI 1043230675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MO · T02949✔ Licensed in KS · 1311
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
9238 WOODSTONE ST, Lenexa, KS 66219
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Other Identifiers 7

OtherPO1389873Mcr Rr
Medicare UPIN1043230675
Medicare PINMA5026001MO
Medicaid100219730BKS
Medicare PINKA3261KS
Medicare PINMA5027001MO
Medicare NSC0480010002

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen Paul Loughman O.d. 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 ID5294633913
PECOS Enrollment IDI20100302000087
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.

Areas of Expertise CMS Part B claims 8

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
190 services188 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
85 services84 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.
63 services46 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
56 services56 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
46 services45 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66219 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
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.

88.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost60.67

Other Providers at the Same Location NPPES

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

ONSIGHT EYE CARE PA
Optometrist
9238 WOODSTONE ST
LENEXA, KS 66219
Johnson County (913) 495-9999

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 Stephen Loughman's NPI number?

The NPI number for Stephen Loughman is 1043230675. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Stephen Loughman located?

Stephen Loughman practices at 9238 Woodstone St, Lenexa, KS 66219. The listed phone number is (913) 495-9999.

What is Stephen Loughman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Stephen Loughman enrolled in Medicare?

Yes. Stephen Loughman 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.

What insurance does Stephen Loughman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 other insurers list Stephen Loughman 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.

When was this NPI record last updated?

The NPPES record for Stephen Loughman was last updated on April 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.