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DR. DAVID RICHARD LOUGH M.D.
NPI 1407855422
Otolaryngology in Charleston, WV

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
500 DONNALLY ST STE 200, CHARLESTON, WV 25301(304) 767-7830(304) 767-7829 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2021, Nov 9, 2021 (2 updates tracked since 2021).

About Dr. David Richard Lough M.d. NPPES

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

DR. DAVID RICHARD LOUGH M.D. (NPI 1407855422) is an individual otolaryngology provider in Charleston, West Virginia, licensed in West Virginia (17615) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and maintains a secondary practice location in South Charleston.

NPPES Registry Identity

NPI1407855422
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. DAVID RICHARD LOUGHCredential: M.D.
Location Address500 DONNALLY ST STE 200Charleston, WV 25301-1600
Mailing Address4605 Maccorkle Ave SwSouth Charleston, WV 25309-1311 · (304) 414-4800
Phone(304) 767-7830
Fax(304) 767-7829
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1991
Enumeration DateJuly 20, 2005
Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1407855422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in WV · 17615
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
500 DONNALLY ST STE 200, Charleston, WV 25301
Open in Google Maps ↗

Secondary Practice Location 1

Location 14605 MacCorkle Ave SWSouth Charleston, WV 25309-1311 · Phone (304) 414-4800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. David Richard Lough 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 ID9436294568
PECOS Enrollment IDI20100301000712
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 16

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.
61 services54 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.
50 services46 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
47 services41 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.
45 services45 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.
41 services41 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.
38 services37 patients

Hospital Affiliations CMS Care Compare

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

ALLISON DUFFY AUD
Audiologist
500 DONNALLY ST STE 200
CHARLESTON, WV 25301
Kanawha County (681) 229-3090
WHITNEY KNIPP AUD
Audiologist
500 DONNALLY ST STE 200
CHARLESTON, WV 25301
Kanawha County (681) 229-3090

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 David Lough's NPI number?

The NPI number for David Lough is 1407855422. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is David Lough located?

David Lough practices at 500 Donnally St Ste 200, Charleston, WV 25301. The listed phone number is (304) 767-7830.

What is David Lough's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is David Lough enrolled in Medicare?

Yes. David 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 David Lough accept?

Health plans from CareSource list David 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 David Lough affiliated with any hospitals?

According to CMS data, David Lough is affiliated with Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Lough was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.