MARGARET LOUGHMAN PA-C, ATC
NPI 1073017448
Physician Assistant in Wilbraham, MA

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment
9 MAPLE ST, WILBRAHAM, MA 01095(413) 596-2411 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Dec 5, 2024, Jun 1, 2023 and 6 more (9 updates tracked since 2018).

About Margaret Loughman Pa-c, Atc NPPES

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

MARGARET LOUGHMAN PA-C, ATC (NPI 1073017448) is an individual physician assistant in Wilbraham, Massachusetts and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in East Longmeadow, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1073017448
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARGARET LOUGHMANCredential: PA-C, ATC
Location Address9 MAPLE STWilbraham, MA 01095-1730
Mailing Address9 Maple StWilbraham, MA 01095-1730 · (978) 895-9551
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 21, 2018
Last NPPES UpdateMarch 9, 20269 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
NPI 1073017448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
9 MAPLE ST, Wilbraham, MA 01095

Secondary Practice Location 1

Location 1135 Benton DrEast Longmeadow, MA 01028-3117 · Phone (413) 525-3336

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

Margaret Loughman Pa-c, Atc 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 ID5597105155
PECOS Enrollment IDI20240430000596
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 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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
490 services91 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
346 services85 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
255 services71 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
210 services68 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
52 services52 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
42 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01095 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES 8

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

Occupational Therapy Assistant
9 MAPLE ST
WILBRAHAM, MA 01095
Occupational Therapist
9 MAPLE ST
WILBRAHAM, MA 01095
Skilled Nursing Facility
9 MAPLE ST
WILBRAHAM, MA 01095
Skilled Nursing Facility
9 MAPLE ST
WILBRAHAM, MA 01095
Skilled Nursing Facility
9 MAPLE ST
WILBRAHAM, MA 01095
Skilled Nursing Facility
9 MAPLE ST
WILBRAHAM, MA 01095
Skilled Nursing Facility
9 MAPLE ST
WILBRAHAM, MA 01095
Speech-Language Pathologist
9 MAPLE ST
WILBRAHAM, MA 01095

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 Margaret Loughman's NPI number?

The NPI number for Margaret Loughman is 1073017448. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Margaret Loughman located?

Margaret Loughman practices at 9 Maple St, Wilbraham, MA 01095. The listed phone number is (413) 596-2411.

What is Margaret Loughman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Margaret Loughman enrolled in Medicare?

Yes. Margaret 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 Margaret Loughman accept?

Health plans from Anthem Blue Cross and Blue Shield list Margaret 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 Margaret Loughman was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.