HALE LOOFBOURROW MD
NPI 1093121881
Family Medicine in Mount Vernon, WA

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment
71.25/100
CMS Quality Rating
2116 E SECTION ST, MOUNT VERNON, WA 98274(360) 428-1700(360) 848-4350 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Hale Loofbourrow Md NPPES

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

HALE LOOFBOURROW MD (NPI 1093121881) is an individual family medicine provider in Mount Vernon, Washington, licensed in Washington (MD61608585) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093121881
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHALE LOOFBOURROWCredential: MD
Location Address2116 E SECTION STMount Vernon, WA 98274-9124
Mailing Address709 W Orchard Dr Ste 4Bellingham, WA 98225-1766 · (360) 318-8800 · Fax (360) 318-1085
Fax(360) 848-4350
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 1, 2014
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
NPI 1093121881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD61608585
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.
2116 E SECTION ST, Mount Vernon, WA 98274

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

Hale Loofbourrow 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.

PECOS PAC ID2163647207
PECOS Enrollment IDI20210923002510, I20250724002897
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 22

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.
324 services243 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
306 services225 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
225 services197 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
198 services172 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
193 services181 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.
128 services97 patients

Hospital Affiliations CMS Care Compare 3

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Island Hospital

Acute Care Hospitals · Anacortes, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500007
Location1211 24th StreetAnacortes, WA 98221 · Skagit County
Emergency services Birthing friendly

Cascade Valley Hospital

Acute Care Hospitals · Arlington, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500060
Location330 S Stillaguamish AveArlington, WA 98223 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

71.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.4
Promoting Interoperability72
Improvement Activities40
Cost74.09

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.

Family Medicine
2116 E SECTION ST
MOUNT VERNON, WA 98274
Family Medicine
2116 E SECTION ST
MOUNT VERNON, WA 98274
Nurse Practitioner (Family)
2116 E SECTION ST
MOUNT VERNON, WA 98274
Family Medicine
2116 E SECTION ST
MOUNT VERNON, WA 98274
Nurse Practitioner (Family)
2116 E SECTION ST
MOUNT VERNON, WA 98274
Nurse Practitioner (Family)
2116 E SECTION ST
MOUNT VERNON, WA 98274
Nurse Practitioner (Family)
2116 E SECTION ST
MOUNT VERNON, WA 98274
Clinical Medical Laboratory
2116 E SECTION ST
MOUNT VERNON, WA 98274

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 Hale Loofbourrow's NPI number?

The NPI number for Hale Loofbourrow is 1093121881. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Hale Loofbourrow located?

Hale Loofbourrow practices at 2116 E Section St, Mount Vernon, WA 98274. The listed phone number is (360) 428-1700.

What is Hale Loofbourrow's specialty?

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

Is Hale Loofbourrow enrolled in Medicare?

Yes. Hale Loofbourrow 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 Hale Loofbourrow accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Hale Loofbourrow 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 Hale Loofbourrow affiliated with any hospitals?

According to CMS data, Hale Loofbourrow is affiliated with Skagit Valley Hospital, Island Hospital and Cascade Valley Hospital.

When was this NPI record last updated?

The NPPES record for Hale Loofbourrow was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.