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NICHOLAS CHRISTOPH LOUGHLIN
NPI 1336679588
Family Medicine in Cherokee, IA

Active since June 19, 2017PECOS Enrolled
300 SIOUX VALLEY DR, CHEROKEE, IA 51012(712) 225-5101 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2023, Jun 19, 2017 (2 updates tracked since 2017).

About Nicholas Christoph Loughlin NPPES

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

NICHOLAS CHRISTOPH LOUGHLIN (NPI 1336679588) is an individual family medicine provider in Cherokee, Iowa, licensed in Iowa (D005646) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1336679588
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICHOLAS CHRISTOPH LOUGHLIN
Location Address300 SIOUX VALLEY DRCherokee, IA 51012-1205
Mailing Address300 Sioux Valley DrCherokee, IA 51012-1205
Phone(712) 225-5101
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1336679588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · D005646
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
300 SIOUX VALLEY DR, Cherokee, IA 51012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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 (PECOS)

Nicholas Christoph Loughlin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638429590
PECOS Enrollment IDI20201110003039
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
84 services42 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
59 services52 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
42 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services17 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Cherokee Regional Medical Center

Critical Access Hospitals · Cherokee, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161362
Location300 Sioux Valley DriveCherokee, IA 51012 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51012 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers58 claims115 services$5.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims19 services$1.12 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims54 services$3.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers34 claims34 services$107.39 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$35.64 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims1,200 services$0.10 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 20

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

LISA M. DUCOMMUN CNP
Clinical Nurse Specialist
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-6265
EDWIN N COOK D.O.
Radiology (Diagnostic Radiology)
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-5101
EMILY PETERSON
Physical Therapist
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-1502
DR. JOHN ROBERT GREAVES DPM
Podiatrist (Foot & Ankle Surgery)
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-3368
TAYLER VAN BERKUM MA, CCC-SLP
Speech-Language Pathologist
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-1502
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
Radiology (Diagnostic Radiology)
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-5101
MS. LINDA LOU GRAUER CRNA ARNP
Nurse Anesthetist, Certified Registered
300 SIOUX VALLEY DR, CHEROKEE REGIONAL MEDICAL CENTER
CHEROKEE, IA 51012
Cherokee County (712) 225-5101
BROOKE ELIZABETH NIELSEN OTR/L
Occupational Therapist
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-1502

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 Nicholas Loughlin's NPI number?

The NPI number for Nicholas Loughlin is 1336679588. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Nicholas Loughlin located?

Nicholas Loughlin practices at 300 Sioux Valley Dr, Cherokee, IA 51012. The listed phone number is (712) 225-5101.

What is Nicholas Loughlin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicholas Loughlin enrolled in Medicare?

Yes. Nicholas Loughlin is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Loughlin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Nicholas 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.

Is Nicholas Loughlin affiliated with any hospitals?

According to CMS data, Nicholas Loughlin is affiliated with St Lukes Regional Medical Center and Cherokee Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Loughlin was last updated on January 30, 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.