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MICHELLE STEPHANIE LOUGH
NPI 1053816496
Family Medicine in San Ysidro, CA

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
1666 PRECISION PARK LN, SAN YSIDRO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2025, Sep 26, 2022, Mar 28, 2018 (3 updates tracked since 2018).

About Michelle Stephanie Lough NPPES

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

MICHELLE STEPHANIE LOUGH (NPI 1053816496) is an individual family medicine provider in San Ysidro, California, licensed in California (A165872) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2018).

NPPES Registry Identity

NPI1053816496
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE STEPHANIE LOUGH
Location Address1666 PRECISION PARK LNSan Ysidro, CA 92173-1346
Mailing Address1601 Precision Park LnSan Ysidro, CA 92173-1345 · (619) 662-4100
Phone(619) 662-4100
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2018
Enumeration DateMarch 28, 2018
Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1053816496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A165872
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1666 PRECISION PARK LN, San Ysidro, CA 92173
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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

Michelle Stephanie Lough 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 ID8224445010
PECOS Enrollment IDI20230227001753
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Clinic/Center (Adolescent and Children Mental Health)
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
San Diego County (619) 428-1330
MS. GRACIELA CASTELLANOS MA IN MFT
Counselor
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
MARGARITA CASTELLANOS PALAZUELOS
Social Worker (Clinical)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 428-5533
RITO A LOPEZ NURSE PRACTITIONER
Nurse Practitioner (Family)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
San Diego County (619) 662-4100
THANOS GEORGE ROSSOPOULOS MD
Psychiatry & Neurology (Psychiatry)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
IRAIDA REYNOSO
Marriage & Family Therapist
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
San Diego County (619) 662-4100
JUSTINE ANN MIRANDA BALTRUS M.A.
Marriage & Family Therapist
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
San Diego County (619) 662-4100

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 Michelle Lough's NPI number?

The NPI number for Michelle Lough is 1053816496. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Michelle Lough located?

Michelle Lough practices at 1666 Precision Park Ln, San Ysidro, CA 92173. The listed phone number is (619) 662-4100.

What is Michelle Lough's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michelle Lough enrolled in Medicare?

Yes. Michelle Lough 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.

When was this NPI record last updated?

The NPPES record for Michelle Lough was last updated on December 3, 2025. 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.