MRS. RICKI LOAR APN
NPI 1194723312
Nurse Practitioner - Family in O Fallon, IL

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
670 PIERCE BLVD, O FALLON, IL 62269(618) 206-2094(618) 607-5127 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Ricki Loar Apn NPPES

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

MRS. RICKI LOAR APN (NPI 1194723312) is an individual family provider in O Fallon, Illinois, licensed in Illinois (209-001078) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Hshs Holy Family Hospital Inc, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1194723312
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. RICKI LOARCredential: APN
Location Address670 PIERCE BLVDO Fallon, IL 62269-2579
Mailing Address3553 W Peterson Ave, Suite 105Chicago, IL 60659-3200 · (773) 267-3807
Fax(618) 607-5127
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 12, 2005
Last NPPES UpdateJanuary 12, 2023
NPPES CertifiedJanuary 12, 2023
NPI 1194723312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IL · 209-001078 Licensed in OK · R0086728
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209001078 (IL), 209-001078 (IL), R0086728 (OK)
670 PIERCE BLVD, O Fallon, IL 62269

Secondary Practice Location 1

Location 13553 W Peterson Ave, Suite 105Chicago, IL 60659-3200 · Phone (773) 267-3807

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

Mrs. Ricki Loar Apn 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 ID4284791245
PECOS Enrollment IDI20110907001080
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 8

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
196 services40 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.
68 services57 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.
61 services61 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
42 services37 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.
34 services34 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.
30 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140137
Location200 Health Care DrGreenville, IL 62246 · Bond County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
670 PIERCE BLVD
O FALLON, IL 62269
Physician Assistant
670 PIERCE BLVD
O FALLON, IL 62269
Nurse Practitioner
670 PIERCE BLVD
O FALLON, IL 62269
Orthopaedic Surgery (Hand Surgery)
670 PIERCE BLVD
O FALLON, IL 62269
Physician Assistant
670 PIERCE BLVD
O FALLON, IL 62269
Family Medicine (Sports Medicine)
670 PIERCE BLVD
O FALLON, IL 62269
Physician Assistant
670 PIERCE BLVD
O FALLON, IL 62269
Orthopaedic Surgery
670 PIERCE BLVD
O FALLON, IL 62269

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 Ricki Loar's NPI number?

The NPI number for Ricki Loar is 1194723312. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Ricki Loar located?

Ricki Loar practices at 670 Pierce Blvd, O Fallon, IL 62269. The listed phone number is (618) 206-2094.

What is Ricki Loar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ricki Loar enrolled in Medicare?

Yes. Ricki Loar 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 Ricki Loar accept?

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

According to CMS data, Ricki Loar is affiliated with Hshs Holy Family Hospital Inc, St Josephs Hospital and Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Ricki Loar was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.