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MICHAEL GRAHAM LOAR MD
NPI 1508867631
Family Medicine in Highlands Ranch, CO

Active since August 10, 2005PECOS Enrolled
97.58/100
CMS Quality Rating
206 W COUNTY LINE RD STE 210, HIGHLANDS RANCH, CO 80129(303) 795-5980(303) 795-7881 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2022, May 11, 2018 (2 updates tracked since 2018).

About Michael Graham Loar Md NPPES

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

MICHAEL GRAHAM LOAR MD (NPI 1508867631) is an individual family medicine provider in Highlands Ranch, Colorado, licensed in Colorado (25456) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508867631
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL GRAHAM LOARCredential: MD
Location Address206 W COUNTY LINE RD STE 210Highlands Ranch, CO 80129-2320
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-4123 · Fax (970) 624-2416
Phone(303) 795-5980
Fax(303) 795-7881
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateDecember 28, 20232 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
✔ NPI 1508867631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 25456
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.
206 W COUNTY LINE RD STE 210, Highlands Ranch, CO 80129
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Other Identifiers 2

Other080146383CO · Railroad Medicare
Medicaid01254564CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Graham Loar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Michael Loar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Poudre Valley Medical Group, LLC
59 mi
General Practice
2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group
NPI 1366763260 (970) 624-4420

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 80129 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers14 claims14 services$34.56 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers11 claims62 services$15.86 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
6 suppliers13 claims13 services$43.31 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers11 claims11 services$15.03 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers16 claims96 services$1.54 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
6 suppliers13 claims13 services$10.55 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 3

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

POUDRE VALLEY MEDICAL GROUP, LLC
Internal Medicine (Gastroenterology)
206 W COUNTY LINE RD STE 210
HIGHLANDS RANCH, CO 80129
Douglas County (720) 516-9089
MONIQUE DEBRAH MAHER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
206 W COUNTY LINE RD STE 210
HIGHLANDS RANCH, CO 80129
Douglas County (720) 213-4505
UNIVERSITY PHYSICIANS INCORPORATED
Internal Medicine (Gastroenterology)
206 W COUNTY LINE RD STE 210
HIGHLANDS RANCH, CO 80129
Douglas County (720) 213-4505

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 Loar's NPI number?

The NPI number for Michael Loar is 1508867631. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Michael Loar located?

Michael Loar practices at 206 W County Line Rd Ste 210, Highlands Ranch, CO 80129. The listed phone number is (303) 795-5980.

What is Michael Loar's specialty?

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

Is Michael Loar enrolled in Medicare?

Yes. Michael Loar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Loar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Loar reassigns Medicare benefits to Poudre Valley Medical Group, LLC (Loveland, CO). The 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 Michael Loar'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 Michael Loar was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.