COLIN GUY LOONEY M.D.
NPI 1316050487
Orthopaedic Surgery - Sports Medicine in Franklin, TN

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
76.06/100
CMS Quality Rating
3000 EDWARD CURD LN, FRANKLIN, TN 37067(615) 791-2630(615) 791-2639 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2023, Jun 8, 2023, Nov 30, 2018 (3 updates tracked since 2018).

About Colin Guy Looney M.d. NPPES

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

COLIN GUY LOONEY M.D. (NPI 1316050487) is an individual sports medicine provider in Franklin, Tennessee, licensed in Tennessee (MD42177) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and is a graduate of Duke University School Of Medicine (2006).

NPPES Registry Identity

NPI1316050487
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameCOLIN GUY LOONEYCredential: M.D.
Location Address3000 EDWARD CURD LNFranklin, TN 37067-5791
Mailing Address3000 Edward Curd LnFranklin, TN 37067-5791 · (615) 791-2630 · Fax (615) 791-2639
Fax(615) 791-2639
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2006
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
NPI 1316050487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in TN · MD42177
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
3000 EDWARD CURD LN, Franklin, TN 37067

Other Identifiers 1

OtherMD0000042177TN · License For Tn

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

Colin Guy Looney 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 ID7719081322
PECOS Enrollment IDI20070824000835
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 22

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
3,360 services39 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,469 services236 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.
505 services351 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
315 services240 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
263 services197 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
196 services144 patients

Hospital Affiliations CMS Care Compare 3

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

Williamson Medical Center

Acute Care Hospitals · Franklin, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440029
Location4321 Carothers ParkwayFranklin, TN 37067 · Williamson County
Emergency services Birthing friendly

Southern Tennessee Regional Hlth System Winchester

Acute Care Hospitals · Winchester, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440058
Location185 Hospital RoadWinchester, TN 37398 · Franklin County
Emergency services Birthing friendly

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

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.

76.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Promoting Interoperability94
Improvement Activities40
Cost57.68

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
55%1,207 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
0%54 patients1/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
86%37 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,239 patients4/55-star benchmark: 100%
e-Prescribing
100%244 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%832 patients1/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%49 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%2,022 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%2,097 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,764 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,616 patients
0%1,616 patients
Provide Patients Electronic Access to Their Health Information
82%786 patients4/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.04%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%183 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 879 patients
Patients totalRate: 3% · 880 patients
2%880 patients4/55-star benchmark: 100%
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.

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.

Physical Therapist
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Physician Assistant (Surgical)
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Occupational Therapist
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Physical Therapist
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Physical Therapy Assistant
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Physician Assistant
3000 EDWARD CURD LN
FRANKLIN, TN 37067
Physical Therapist
3000 EDWARD CURD LN
FRANKLIN, TN 37067

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 Colin Looney's NPI number?

The NPI number for Colin Looney is 1316050487. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Colin Looney located?

Colin Looney practices at 3000 Edward Curd Ln, Franklin, TN 37067. The listed phone number is (615) 791-2630.

What is Colin Looney's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Colin Looney enrolled in Medicare?

Yes. Colin Looney 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 Colin Looney accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Colin Looney 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 Colin Looney affiliated with any hospitals?

According to CMS data, Colin Looney is affiliated with Williamson Medical Center, Southern Tennessee Regional Hlth System Winchester and Maury Regional Hospital.

When was this NPI record last updated?

The NPPES record for Colin Looney was last updated on July 3, 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.