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TIMOTHY FRANCIS CLOUGHESY MD
NPI 1154356053
Psychiatry & Neurology - Neurology in Los Angeles, CA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
88.01/100
CMS Quality Rating
300 MEDICAL PLAZA SUITE B-200, LOS ANGELES, CA 90095(310) 794-1195(310) 794-7491 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Timothy Francis Cloughesy Md NPPES

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

TIMOTHY FRANCIS CLOUGHESY MD (NPI 1154356053) is an individual neurology provider in Los Angeles, California, licensed in California (G63435) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Tulane University School Of Medicine (1987).

NPPES Registry Identity

NPI1154356053
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameTIMOTHY FRANCIS CLOUGHESYCredential: MD
Location Address300 MEDICAL PLAZA SUITE B-200Los Angeles, CA 90095-0001
Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631
Phone(310) 794-1195
Fax(310) 794-7491
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1987
Enumeration DateJuly 11, 2006
Last NPPES UpdateJanuary 16, 2020
✔ NPI 1154356053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · G63435
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License G63435 (CA)
300 MEDICAL PLAZA SUITE B-200, Los Angeles, CA 90095
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 Ucla Medical Plz Ste 120Los Angeles, CA 90095-0001 · Phone (310) 206-6909 · Fax (310) 794-1699

Other Identifiers 1

Medicaid00G634350CA

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

Timothy Francis Cloughesy 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 ID8527017755
PECOS Enrollment IDI20050114000394
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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
137 services69 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
73 services42 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

88.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.57
Promoting Interoperability100
Improvement Activities40
Cost58.39

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Electrical stimulation device used for cancer treatment, includes all accessories, any type E0766
DME-Other DME · category DE000N
1 supplier14 claims14 services$11,107.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Timothy Cloughesy's NPI number?

The NPI number for Timothy Cloughesy is 1154356053. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Timothy Cloughesy located?

Timothy Cloughesy practices at 300 Medical Plaza Suite B-200, Los Angeles, CA 90095. The listed phone number is (310) 794-1195.

What is Timothy Cloughesy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Timothy Cloughesy enrolled in Medicare?

Yes. Timothy Cloughesy 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 Timothy Cloughesy was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.