SHELDON LOUGHNER FNP
NPI 1487398608
Nurse Practitioner - Family in Pittsburgh, PA

Active since April 25, 2022PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
7157 MARY PECK BOND PL, PITTSBURGH, PA 15206(412) 661-2802 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 27, 2026, Nov 6, 2024, Dec 7, 2022 and 1 more (4 updates tracked since 2022).

About Sheldon Loughner Fnp NPPES

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

SHELDON LOUGHNER FNP (NPI 1487398608) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP025646) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487398608
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSHELDON LOUGHNERCredential: FNP
Location Address7157 MARY PECK BOND PLPittsburgh, PA 15206-1236
Mailing Address7157 Mary Peck Bond PlPittsburgh, PA 15206-1236 · (412) 661-2802
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 25, 2022
Last NPPES UpdateJanuary 27, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1487398608 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 PA · SP025646
Also ListedFamily MedicineTaxonomy 207Q00000X · License SP025646 (PA)
7157 MARY PECK BOND PL, Pittsburgh, PA 15206

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

Sheldon Loughner 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 ID1850779893
PECOS Enrollment IDI20220603001906
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Sheldon Loughner reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
970 FREEPORT RD
Pittsburgh, PA 15238
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
Family Medicine
2500 BROOKTREE RD STE 200
Wexford, PA 15090
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 8 clinicians in this Medicare group
Hospice and Palliative Medicine
2000 CLIFFMINE RD STE 500
Pittsburgh, PA 15275
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 96 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
2395 LANCASTER PIKE FL 1, PMB # 9698
Reading, PA 19607
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 72 clinicians in this Medicare group
Primary Care
3621 ARAMINGO AVE STE C5
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 196 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15206 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
7157 MARY PECK BOND PL
PITTSBURGH, PA 15206
Pharmacy (Community/Retail Pharmacy)
7157 MARY PECK BOND PL
PITTSBURGH, PA 15206
Dietitian, Registered
7157 MARY PECK BOND PL
PITTSBURGH, PA 15206
Dental Hygienist
7157 MARY PECK BOND PL
PITTSBURGH, PA 15206
Counselor
7157 MARY PECK BOND PL
PITTSBURGH, PA 15206
Counselor (Professional)
7157 MARY PECK BOND PL
PITTSBURGH, PA 15206
Community Health Worker
7157 MARY PECK BOND PL
PITTSBURGH, PA 15206
Family Medicine
7157 MARY PECK BOND PL
PITTSBURGH, PA 15206

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 Sheldon Loughner's NPI number?

The NPI number for Sheldon Loughner is 1487398608. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Sheldon Loughner located?

Sheldon Loughner practices at 7157 Mary Peck Bond Pl, Pittsburgh, PA 15206. The listed phone number is (412) 661-2802.

What is Sheldon Loughner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sheldon Loughner enrolled in Medicare?

Yes. Sheldon Loughner 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 Sheldon Loughner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheldon Loughner reassigns Medicare benefits to 6 organizations: Allegheny Clinic (Pittsburgh, PA), Quality Integrative Health PC (Wexford, PA), Personal Care Medical Associates LLC (Pittsburgh, PA), Snf Specialty Services (Reading, PA), Osh - PA Physicians Group, PC (Philadelphia, PA) and 1 more organization, listed in the Medicare section above. 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 Sheldon Loughner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sheldon Loughner was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.