LOREN OST M.D.
NPI 1275526998
Urology in Sulphur Springs, TX

Q: What is Loren Ost's NPI number?

The NPI number for Loren Ost is 1275526998. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Q: What is Loren Ost's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Loren Ost was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 August 29, 2005PECOS EnrolledAccepts Medicare Assignment

113 AIRPORT RD, SUITE 302, SULPHUR SPRINGS, TX 75482(903) 439-6500(903) 438-0164 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Loren Ost M.d. NPPES

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

LOREN OST M.D. (NPI 1275526998) is an individual urology provider in Sulphur Springs, Texas, licensed in Texas (P1380) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and is a graduate of Southern Illinois University School Of Medicine (1993).

NPPES Registry Identity

NPI1275526998

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameLOREN OSTCredential: M.D.

Location Address113 AIRPORT RD, SUITE 302Sulphur Springs, TX 75482-2193

Mailing AddressPo Box 1367Sulphur Springs, TX 75483-1367 · (903) 439-6500 · Fax (903) 438-0164

Phone(903) 439-6500

Fax(903) 438-0164

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1993

Enumeration DateAugust 29, 2005

Last NPPES UpdateAugust 6, 2015

✔ NPI 1275526998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in TX · P1380

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

113 AIRPORT RD, Sulphur Springs, TX 75482

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Other Identifiers 3

Medicare UPING93565TX

Medicaid296561801TX

Medicare PINTXB142221TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.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

Loren Ost 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 ID547260606

PECOS Enrollment IDI20111227000169

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 12

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.

116 services107 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.

95 services82 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

61 services55 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

44 services41 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

23 services14 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

22 services20 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

19 services19 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.

19 services19 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

16 services16 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.

16 services16 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

15 services15 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Christus Mother Frances Hospital Sulphur Springs

Acute Care Hospitals · Sulphur Springs, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450236

Location115 Airport RdSulphur Springs, TX 75482 · Hopkins County

Emergency services Birthing friendly

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450352

Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County

Emergency services Birthing friendly

Christus Mother Frances Hospital- Winnsboro

Critical Access Hospitals · Winnsboro, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451381

Location719 West Coke RoadWinnsboro, TX 75494 · Wood County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75482 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers12 claims1,050 services$0.09 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers30 claims4,320 services$1.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

ACCESS PHYSICIANS PULMONARY

Clinic/Center

113 AIRPORT RD, SUITE NUMBER 301
SULPHUR SPRINGS, TX 75482

Hopkins County (903) 353-9544

MARTIN W FIELDER MD

Obstetrics & Gynecology

113 AIRPORT RD, SUITE 200
SULPHUR SPRINGS, TX 75482

Hopkins County (903) 439-4917

TRINITY CLINIC

Clinic/Center (Rural Health)

113 AIRPORT RD, STE 200
SULPHUR SPRINGS, TX 75482

Hopkins County (903) 439-3285

LAUREN JETON INGRAM FNP

Nurse Practitioner (Family)

113 AIRPORT RD, SUITE 301
SULPHUR SPRINGS, TX 75482

Hopkins County (903) 439-3285

HOPKINS COUNTY PHYSICIAN SERVICES

Obstetrics & Gynecology

113 AIRPORT RD, SUITE 200
SULPHUR SPRINGS, TX 75482

Hopkins County (903) 439-2273

DEBORAH LOGAN CNM

Advanced Practice Midwife

113 AIRPORT RD, SUITE 200
SULPHUR SPRINGS, TX 75482

Hopkins County (903) 439-4917

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 Loren Ost's NPI number?

The NPI number for Loren Ost is 1275526998. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is Loren Ost located?

Loren Ost practices at 113 Airport Rd Suite 302, Sulphur Springs, TX 75482. The listed phone number is (903) 439-6500.

What is Loren Ost's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Loren Ost enrolled in Medicare?

Yes. Loren Ost 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 Loren Ost accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Loren Ost 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 Loren Ost affiliated with any hospitals?

According to CMS data, Loren Ost is affiliated with Christus Mother Frances Hospital, Christus Mother Frances Hospital Sulphur Springs, Hunt Regional Medical Center and Christus Mother Frances Hospital- Winnsboro.

When was this NPI record last updated?

The NPPES record for Loren Ost was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.