DR. TERRENCE R LOUGHLIN MD
NPI 1124141825
Otolaryngology in Rockford, IL

Active since April 09, 2007PECOS EnrolledAccepts Medicare Assignment
698 FEATHERSTONE RD, ROCKFORD, IL 61107(815) 398-3277 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Terrence R Loughlin Md NPPES

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

DR. TERRENCE R LOUGHLIN MD (NPI 1124141825) is an individual otolaryngology provider in Rockford, Illinois, licensed in Illinois (036064417) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Hahnemann University College Of Medicine (1980).

NPPES Registry Identity

NPI1124141825
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. TERRENCE R LOUGHLINCredential: MD
Location Address698 FEATHERSTONE RDRockford, IL 61107-6303
Mailing Address698 Featherstone RdRockford, IL 61107-6303 · (815) 398-3277
Sole ProprietorYes
Medical School CMSHahnemann University College Of MedicineGraduated 1980
Enumeration DateApril 9, 2007
Last NPPES UpdateNovember 16, 2015
NPI 1124141825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in IL · 036064417
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

698 FEATHERSTONE RD, Rockford, IL 61107

Other Identifiers 1

Medicare UPINC45985IL

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. Terrence R Loughlin 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 ID5991986234
PECOS Enrollment IDI20110221000439
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 6

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 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.
192 services144 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
114 services94 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
91 services91 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
62 services57 patients
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.
61 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 20

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

Family Medicine
698 FEATHERSTONE RD
ROCKFORD, IL 61107
Allergy & Immunology
698 FEATHERSTONE RD
ROCKFORD, IL 61107
Allergy & Immunology
698 FEATHERSTONE RD
ROCKFORD, IL 61107
Physician Assistant (Medical)
698 FEATHERSTONE RD
ROCKFORD, IL 61107
Otolaryngology (Plastic Surgery within the Head & Neck)
698 FEATHERSTONE RD
ROCKFORD, IL 61107
Audiologist
698 FEATHERSTONE RD
ROCKFORD, IL 61107
Physician Assistant (Medical)
698 FEATHERSTONE RD
ROCKFORD, IL 61107
Internal Medicine (Infectious Disease)
698 FEATHERSTONE RD
ROCKFORD, IL 61107

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 Terrence Loughlin's NPI number?

The NPI number for Terrence Loughlin is 1124141825. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Terrence Loughlin located?

Terrence Loughlin practices at 698 Featherstone Rd, Rockford, IL 61107. The listed phone number is (815) 398-3277.

What is Terrence Loughlin's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Terrence Loughlin enrolled in Medicare?

Yes. Terrence Loughlin 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 Terrence Loughlin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Terrence Loughlin 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 Terrence Loughlin affiliated with any hospitals?

According to CMS data, Terrence Loughlin is affiliated with Saint Anthony Medical Center and Osf Saint Paul Medical Center.

When was this NPI record last updated?

The NPPES record for Terrence Loughlin was last updated on November 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.