DR. MICHAEL JOSEPH MCLOUGHLIN MD
NPI 1467890376
Internal Medicine in Clarion, IA

Q: What is Michael Mcloughlin's NPI number?

The NPI number for Michael Mcloughlin is 1467890376. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Q: What is Michael Mcloughlin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment

1316 S MAIN ST, CLARION, IA 50525(515) 571-2452(515) 532-2523 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Michael Joseph Mcloughlin Md NPPES

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

DR. MICHAEL JOSEPH MCLOUGHLIN MD (NPI 1467890376) is an individual internal medicine provider in Clarion, Iowa, licensed in Iowa (R9726) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2013).

NPPES Registry Identity

NPI1467890376

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MICHAEL JOSEPH MCLOUGHLINCredential: MD

Location Address1316 S MAIN STClarion, IA 50525-2019

Mailing Address1316 S Main StClarion, IA 50525-2019 · (515) 532-2836 · Fax (515) 532-2523

Phone(515) 571-2452

Fax(515) 532-2523

Sole ProprietorYes

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2013

Enumeration DateJune 13, 2013

Last NPPES UpdateSeptember 30, 2019

✔ NPI 1467890376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IA · R9726

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1316 S MAIN ST, Clarion, IA 50525

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Michael Joseph Mcloughlin Md 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 ID4284877812

PECOS Enrollment IDI20160620001174

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 3

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.

56 services39 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

23 services20 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160064

Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County

Emergency services Birthing friendly

Iowa Specialty Hospital - Belmond

Critical Access Hospitals · Belmond, IA

OwnershipGovernment - Local

CMS Certification Number161301

Location403 First Street SEBelmond, IA 50421 · Wright County

Emergency services

Iowa Specialty Hospital - Clarion

Critical Access Hospitals · Clarion, IA

OwnershipGovernment - Local

CMS Certification Number161302

Location1316 South Main StreetClarion, IA 50525 · Wright County

Emergency services Birthing friendly

Humboldt County Memorial Hospital

Critical Access Hospitals · Humboldt, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161334

Location1000 North 15th StreetHumboldt, IA 50548 · Humboldt County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50525 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

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 24

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

14 suppliers99 claims230 services$5.73 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

2 suppliers11 claims824 services$0.23 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers46 claims46 services$45.15 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

2 suppliers12 claims741 services$0.23 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers56 claims56 services$116.97 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers48 claims131 services$43.24 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers26 claims123 services$23.92 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers13 claims77 services$18.92 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

9 suppliers41 claims41 services$71.95 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers61 claims61 services$24.18 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

9 suppliers48 claims48 services$22.55 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers78 claims434 services$3.04 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

7 suppliers25 claims25 services$8.81 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers40 claims40 services$13.33 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims7,281 services$0.48 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers15 claims15 services$19.82 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers45 claims45 services$50.53 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

3 suppliers62 claims63 services$112.31 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers20 claims20 services$36.18 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$4.73 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

8 suppliers52 claims5,910 services$0.08 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

4 suppliers35 claims2,010 services$0.79 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers88 claims88 services$193.75 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

9 suppliers62 claims62 services$22.26 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.

DR. JESSICA LYNN ROOKER D- NP

Nurse Practitioner (Gerontology)

1316 S MAIN ST
CLARION, IA 50525

Wright County (515) 532-2811

MIRIAM LANDON OTR/L

Occupational Therapist

1316 S MAIN ST
CLARION, IA 50525

Wright County (515) 532-9265

DR. PHILLIP J GREENFIELD DPM

Podiatrist (Foot & Ankle Surgery)

1316 S MAIN ST
CLARION, IA 50525

Wright County (515) 532-2811

IOWA SPECIALTY HOSPITAL- CLARION

General Acute Care Hospital (Critical Access)

1316 S MAIN ST
CLARION, IA 50525

Wright County (515) 532-2811

DR. KELSEY MCOLLOUGH MD

Obstetrics & Gynecology

1316 S MAIN ST
CLARION, IA 50525

Wright County (515) 532-9287

BENJAMIN BECKER P.A.

Physician Assistant (Medical)

1316 S MAIN ST
CLARION, IA 50525

Wright County (515) 532-2811

MS. MCKENZIE VAN HEERDEN RD

Dietitian, Registered

1316 S MAIN ST
CLARION, IA 50525

Wright County (515) 532-2811

SHELLEY MARIE WELLS DO

Anesthesiology

1316 S MAIN ST
CLARION, IA 50525

Wright County (515) 532-3119

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 Michael Mcloughlin's NPI number?

The NPI number for Michael Mcloughlin is 1467890376. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Michael Mcloughlin located?

Michael Mcloughlin practices at 1316 S Main St, Clarion, IA 50525. The listed phone number is (515) 571-2452.

What is Michael Mcloughlin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Mcloughlin enrolled in Medicare?

Yes. Michael Mcloughlin 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 Michael Mcloughlin accept?

Health plans from Medica list Michael Mcloughlin 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 Michael Mcloughlin affiliated with any hospitals?

According to CMS data, Michael Mcloughlin is affiliated with Mercyone North Iowa Medical Center, Iowa Specialty Hospital - Belmond, Iowa Specialty Hospital - Clarion and Humboldt County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Mcloughlin was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.