JOHN E. LOOBY MD
NPI 1508966011
Hospitalist in Rapid City, SD

Active since September 24, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
353 FAIRMONT BLVD., RAPID CITY, SD 57701(605) 719-1000 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John E. Looby Md NPPES

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

JOHN E. LOOBY MD (NPI 1508966011) is an individual hospitalist provider in Rapid City, South Dakota, licensed in South Dakota (4242) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1994).

NPPES Registry Identity

NPI1508966011
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJOHN E. LOOBYCredential: MD
Location Address353 FAIRMONT BLVD.Rapid City, SD 57701
Mailing Address353 Fairmont Blvd, Atten Medical Staff ServicesRapid City, SD 57701-6000
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1994
Enumeration DateSeptember 24, 2006
Last NPPES UpdateJanuary 3, 2013
NPI 1508966011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in SD · 4242
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
353 FAIRMONT BLVD., Rapid City, SD 57701

Other Identifiers 2

Medicare PINS100672SD
Medicare UPING47445

Accepted 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

John E. Looby 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 ID941229272
PECOS Enrollment IDI20051116000508
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 5

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.
512 services162 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.
124 services41 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
83 services78 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
31 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services13 patients

Hospital Affiliations CMS Care Compare

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier26 claims26 services$19.80 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.

Internal Medicine
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Nurse Anesthetist, Certified Registered
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Nurse Anesthetist, Certified Registered
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Internal Medicine (Medical Oncology)
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Nurse Anesthetist, Certified Registered
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Internal Medicine
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Internal Medicine
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Hospitalist
353 FAIRMONT BLVD.
RAPID CITY, SD 57701

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 John Looby's NPI number?

The NPI number for John Looby is 1508966011. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is John Looby located?

John Looby practices at 353 Fairmont Blvd., Rapid City, SD 57701. The listed phone number is (605) 719-1000.

What is John Looby's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is John Looby enrolled in Medicare?

Yes. John Looby 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 John Looby accept?

Health plans from Avera Health Plans and Medica list John Looby 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 John Looby affiliated with any hospitals?

According to CMS data, John Looby is affiliated with Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for John Looby was last updated on January 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.