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DR. EIMEAR MARY O'LOUGHLIN M.D.
NPI 1215227723
Pediatrics in North Adams, MA

Active since April 18, 2011PECOS Enrolled
77 HOSPITAL AVE., SUITE #302, NORTH ADAMS, MA 01247(413) 663-8365(413) 662-2363 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 24, 2023, Jul 21, 2022, Aug 22, 2017 (3 updates tracked since 2017).

About Dr. Eimear Mary O'loughlin M.d. NPPES

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

DR. EIMEAR MARY O'LOUGHLIN M.D. (NPI 1215227723) is an individual pediatrics provider in North Adams, Massachusetts, licensed in Massachusetts (258944) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215227723
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. EIMEAR MARY O'LOUGHLINCredential: M.D.
Location Address77 HOSPITAL AVE., SUITE #302North Adams, MA 01247-2538
Mailing Address77 Hospital Ave., Suite #302North Adams, MA 01247-2538 · (413) 663-8365 · Fax (413) 662-2363
Phone(413) 663-8365
Fax(413) 662-2363
Sole ProprietorNo
Enumeration DateApril 18, 2011
Last NPPES UpdateNovember 24, 20233 updates tracked since enumeration
✔ NPI 1215227723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 258944
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
77 HOSPITAL AVE., North Adams, MA 01247
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Other Identifiers 1

Medicaid110162915AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eimear Mary O'loughlin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Eimear O'loughlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Programs
0.4 mi
Community Health
CHP NORTH ADAMS FAMILY MEDICAL AND DENTAL CENTER, 71 HOSPITAL AVENUE. FLOOR 3
North Adams, MA 01247
  • Reassigned Medicare billing, Massachusetts enrollment
  • 102 clinicians in this Medicare group
NPI 1194195206 (413) 664-4088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01247 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES 2

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

MS. AMANDA LEOLA EGAN POIRIER CNP
Nurse Practitioner (Psychiatric/Mental Health)
77 HOSPITAL AVE., SUITE #302
NORTH ADAMS, MA 01247
Berkshire County (413) 663-8365
NORTHERN BERKSHIRE PEDIATRICS, LLP
Pediatrics
77 HOSPITAL AVE., SUITE 302
NORTH ADAMS, MA 01247
Berkshire County (413) 663-8365

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 Eimear O'loughlin's NPI number?

The NPI number for Eimear O'loughlin is 1215227723. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Where is Eimear O'loughlin located?

Eimear O'loughlin practices at 77 Hospital Ave. Suite #302, North Adams, MA 01247. The listed phone number is (413) 663-8365.

What is Eimear O'loughlin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Eimear O'loughlin enrolled in Medicare?

Yes. Eimear O'loughlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eimear O'loughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eimear O'loughlin reassigns Medicare benefits to Community Health Programs (North Adams, MA). The 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 Eimear O'loughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eimear O'loughlin accept?

Health plans from Anthem Blue Cross and Blue Shield list Eimear O'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.

When was this NPI record last updated?

The NPPES record for Eimear O'loughlin was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.