DAN ALAN LOUGHRAN MD
NPI 1164928164
Emergency Medicine in Wilkes Barre, PA
About Dan Alan Loughran Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAN ALAN LOUGHRAN MD (NPI 1164928164) is an individual emergency medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD472135) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Geisinger Wyoming Valley Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dan Alan Loughran 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dan Loughran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilkes Barre, PA 18711
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Muncy, PA 17756
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,405 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger Wyoming Valley Medical Center
Acute Care Hospitals · Wilkes Barre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WILKES BARRE, PA 18711
WILKES BARRE, PA 18711
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 Dan Loughran's NPI number?
The NPI number for Dan Loughran is 1164928164. It was assigned to this individual provider in the NPPES registry on March 30, 2018.
Where is Dan Loughran located?
Dan Loughran practices at 1000 E Mountain Dr, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7762.
What is Dan Loughran's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Dan Loughran enrolled in Medicare?
Yes. Dan Loughran 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.
Which organizations bill Medicare for Dan Loughran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dan Loughran reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Wilkes Barre, PA) and Geisinger-Hm Joint Venture LLC (Muncy, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dan Loughran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dan Loughran accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Dan Loughran 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 Dan Loughran affiliated with any hospitals?
According to CMS data, Dan Loughran is affiliated with Geisinger Wyoming Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Dan Loughran was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dan Alan Loughran, MD · NPI 1164928164
Emergency Medicine physician in Wilkes Barre, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 30, 2018.
## Identity
- **NPI:** 1164928164 (Entity type: Individual)
- **Enumerated:** March 30, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD472135 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 E MOUNTAIN DR, Wilkes Barre, PA 18711-0027
- **Phone:** (570) 808-7762
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1366492902, Wilkes Barre, PA); Geisinger-Hm Joint Venture LLC (NPI 1952076119, Muncy, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164928164) · Data from the CMS NPPES public registry.