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ERICA LOUGH FNP
NPI 1316548795
Nurse Practitioner - Family in Middleburg Heights, OH

Active since November 03, 2020PECOS EnrolledAccepts Medicare Assignment
77.32/100
CMS Quality Rating
18660 BAGLEY RD BLD 1 SUITE 201, MIDDLEBURG HEIGHTS, OH 44130(440) 368-1117(440) 550-4617 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Nov 3, 2020 (2 updates tracked since 2020).

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

NPI1316548795
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA LOUGHCredential: FNP
Location Address18660 BAGLEY RD BLD 1 SUITE 201Middleburg Heights, OH 44130-3304
Mailing AddressPo Box 638269Cincinnati, OH 45263-8269
Phone(440) 368-1117
Fax(440) 550-4617
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 3, 2020
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1316548795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0026772
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.406047 (OH)
18660 BAGLEY RD BLD 1 SUITE 201, Middleburg Heights, OH 44130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare 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

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.

PECOS PAC ID5991100737
PECOS Enrollment IDI20210817003698
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 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.

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.
92 services31 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.
15 services15 patients

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, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

77.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.91
Promoting Interoperability100
Improvement Activities40
Cost63.49

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.

What insurance does Erica Lough accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare 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 with the weekly NPPES data releases published by CMS.