ERICA LOUGH FNP
NPI 1316548795
Nurse Practitioner - Family in Middleburg Heights, OH
About Erica Lough Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICA LOUGH FNP (NPI 1316548795) is an individual family provider in Middleburg Heights, Ohio, licensed in Ohio (APRN.CNP.0026772) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Erica Lough Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Erica Lough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middleburg Hts, OH 44130
- Reassigned Medicare billing, Ohio enrollment
- 6 clinicians in this Medicare group
Cleveland, OH 44130
- Reassigned Medicare billing, Ohio enrollment
- 283 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southwest General Health Center
Acute Care Hospitals · Middleburg Heights, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Erica Lough's NPI number?
The NPI number for Erica Lough is 1316548795. It was assigned to this individual provider in the NPPES registry on November 3, 2020.
Where is Erica Lough located?
Erica Lough practices at 18660 Bagley Rd Bld 1 Suite 201, Middleburg Heights, OH 44130. The listed phone number is (440) 368-1117.
What is Erica Lough's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Erica Lough enrolled in Medicare?
Yes. Erica Lough 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.
Which organizations bill Medicare for Erica Lough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Lough reassigns Medicare benefits to 2 organizations: Leslie Pristas Do LLC (Middleburg Hts, OH) and Southwest General Medical Group, Inc (Cleveland, OH). Each 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 Erica Lough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erica Lough accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Erica Lough 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 Erica Lough affiliated with any hospitals?
According to CMS data, Erica Lough is affiliated with Southwest General Health Center.
When was this NPI record last updated?
The NPPES record for Erica Lough was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Erica Lough, FNP · NPI 1316548795
Family physician in Middleburg Heights, Ohio. Individual provider, active in the CMS NPPES registry since November 3, 2020.
## Identity
- **NPI:** 1316548795 (Entity type: Individual)
- **Enumerated:** November 3, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.0026772 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 18660 BAGLEY RD BLD 1 SUITE 201, Middleburg Heights, OH 44130-3304
- **Phone:** (440) 368-1117 · **Fax:** (440) 550-4617
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Leslie Pristas Do LLC (NPI 1427806421, Middleburg Hts, OH); Southwest General Medical Group, Inc (NPI 1205985967, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1316548795) · Data from the CMS NPPES public registry.