DR. PAUL E LOETHEN MD
NPI 1053595538
Surgery in Shiloh, IL
About Dr. Paul E Loethen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL E LOETHEN MD (NPI 1053595538) is an individual surgery provider in Shiloh, Illinois, licensed in Illinois (036122761) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Accepted 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
Dr. Paul E Loethen Md 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Josephs Hospital
Acute Care Hospitals · Breese, ILMemorial Hospital
Acute Care Hospitals · Belleville, ILHshs St Elizabeth's Hospital
Acute Care Hospitals · O Fallon, ILSt Joseph's Hospital
Critical Access Hospitals · Highland, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Paul Loethen's NPI number?
The NPI number for Paul Loethen is 1053595538. It was assigned to this individual provider in the NPPES registry on December 20, 2007.
Where is Paul Loethen located?
Paul Loethen practices at 1414 Cross Street Suite 330, Shiloh, IL 62269. The listed phone number is (618) 277-7400.
What is Paul Loethen's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Paul Loethen enrolled in Medicare?
Yes. Paul Loethen 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 Paul Loethen accept?
Health plans from UnitedHealthcare list Paul Loethen 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 Paul Loethen affiliated with any hospitals?
According to CMS data, Paul Loethen is affiliated with St Josephs Hospital, Memorial Hospital, Hshs St Elizabeth's Hospital and St Joseph's Hospital.
When was this NPI record last updated?
The NPPES record for Paul Loethen was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
