WILLIAM EDWARD LOUGHNEY
NPI 1447719257
Internal Medicine in Scranton, PA
About William Edward Loughney NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM EDWARD LOUGHNEY (NPI 1447719257) is an individual internal medicine provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD479909) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
William Edward Loughney 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 William Loughney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scranton, PA 18503
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Scranton, PA 18503
- Reassigned Medicare billing, Pennsylvania enrollment
- 88 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 4
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger-Community Medical Center
Acute Care Hospitals · Scranton, PAGeisinger Medical Center
Acute Care Hospitals · Danville, PAGeisinger Wyoming Valley Medical Center
Acute Care Hospitals · Wilkes Barre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 William Loughney's NPI number?
The NPI number for William Loughney is 1447719257. It was assigned to this individual provider in the NPPES registry on March 19, 2019.
Where is William Loughney located?
William Loughney practices at 531 Mt Pleasant Dr, Scranton, PA 18503. The listed phone number is (570) 342-8500.
What is William Loughney's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is William Loughney enrolled in Medicare?
Yes. William Loughney 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 William Loughney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Loughney reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Scranton, PA) and Caring Community Health Center (Scranton, PA). 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 William Loughney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does William Loughney accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list William Loughney 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 William Loughney affiliated with any hospitals?
According to CMS data, William Loughney is affiliated with Geisinger-Community Medical Center, Geisinger Medical Center and Geisinger Wyoming Valley Medical Center.
When was this NPI record last updated?
The NPPES record for William Loughney was last updated on September 13, 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.
# William Edward Loughney · NPI 1447719257
Internal Medicine physician in Scranton, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 19, 2019.
## Identity
- **NPI:** 1447719257 (Entity type: Individual)
- **Enumerated:** March 19, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD479909 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 531 MT PLEASANT DR, Scranton, PA 18503-1987
- **Phone:** (570) 342-8500 · **Fax:** (570) 558-2290
## 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): Geisinger Clinic (NPI 1184248668, Scranton, PA); Caring Community Health Center (NPI 1891547964, Scranton, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1447719257) · Data from the CMS NPPES public registry.