ERIK GREG LOUGH M.D.
NPI 1215110440
Surgery in Austin, TX

Q: What is Erik Lough's NPI number?

The NPI number for Erik Lough is 1215110440. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Q: What is Erik Lough's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Erik Lough was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 11, 2007PECOS EnrolledAccepts Medicare Assignment

3705 MEDICAL PKWY STE 250, AUSTIN, TX 78705(512) 334-1899(512) 451-9752 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Erik Greg Lough M.d. NPPES

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

ERIK GREG LOUGH M.D. (NPI 1215110440) is an individual surgery provider in Austin, Texas, licensed in Texas (P6021) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Williamson, and is a graduate of West Virginia University School Of Medicine (2007).

NPPES Registry Identity

NPI1215110440

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameERIK GREG LOUGHCredential: M.D.

Location Address3705 MEDICAL PKWY STE 250Austin, TX 78705-1022

Mailing Address3705 Medical Pkwy Ste 250Austin, TX 78705-1022 · (512) 302-1210 · Fax (512) 451-9752

Phone(512) 334-1899

Fax(512) 451-9752

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2007

Enumeration DateDecember 11, 2007

Last NPPES UpdateFebruary 3, 2021

NPPES CertifiedFebruary 3, 2021

✔ NPI 1215110440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · P6021

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3705 MEDICAL PKWY STE 250, Austin, TX 78705

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Erik Greg Lough M.d. 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 ID2668622317

PECOS Enrollment IDI20130824000054

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 5

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.

20 services18 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.

18 services18 patients

Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope 43282

This procedure fixes a hernia, a bulge or tear, in the muscle where the esophagus meets the stomach. Using an endoscope, a thin tube with a camera, a mesh is implanted to strengthen the area and prevent future hernias.

13 services13 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.

12 services12 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670041

Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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.

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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

1%107 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

53%40 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

89%360 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

60%259 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

28%305 patients2/55-star benchmark: 61%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

57%37 patients2/55-star benchmark: 91%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 11

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

JACK LEE WALZEL MD

Surgery