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DR. JAMES PATRICK LOUGHRAN M.D.
NPI 1588643753
Emergency Medicine in Crosby, TX

Active since January 16, 2006PECOS EnrolledAccepts Medicare Assignment
3635 SHORE SHADOWS DR, CROSBY, TX 77532(765) 318-0611(281) 462-1960 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James Patrick Loughran M.d. NPPES

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

DR. JAMES PATRICK LOUGHRAN M.D. (NPI 1588643753) is an individual emergency medicine provider in Crosby, Texas, licensed in Texas (M2382) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Oral Roberts University School Of Medicine (1990).

NPPES Registry Identity

NPI1588643753
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES PATRICK LOUGHRANCredential: M.D.
Location Address3635 SHORE SHADOWS DRCrosby, TX 77532-7220
Mailing Address3635 Shore Shadows DrCrosby, TX 77532-7220 · (765) 318-0611 · Fax (281) 462-1960
Phone(765) 318-0611
Fax(281) 462-1960
Sole ProprietorYes
Medical School CMSOral Roberts University School Of MedicineGraduated 1990
Enumeration DateJanuary 16, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1588643753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · M2382
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License M2382 (TX)
3635 SHORE SHADOWS DR, Crosby, TX 77532
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, HMSA and more.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

Dr. James Patrick Loughran M.d. 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 ID3476573247
PECOS Enrollment IDI20060220000550, I20231214000768
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

11

Medicare enrollment records show James Loughran reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Get Well Healthcare Services
3.6 mi
Family
19020 W LAKE HOUSTON PKWY
Humble, TX 77346
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1447774708 (281) 812-3736
American Current Care, P.A.
13 mi
Urgent Care
10909 I-10 EAST FWY
Houston, TX 77029
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: American Current Care PA
  • 237 clinicians in this Medicare group
NPI 1417136979 (713) 675-4777
Ess Of South Texas LLC
22 mi
Emergency Medicine
1353 N TRAVIS ST
Liberty, TX 77575
  • Reassigned Medicare billing, Texas enrollment
  • 199 clinicians in this Medicare group
NPI 1295128247 (936) 336-7316
Emergency Hospital Systems LLC
27 mi
General Acute Care Hospital
1017 S TRAVIS AVE
Cleveland, TX 77327
  • Reassigned Medicare billing, Texas enrollment
  • 124 clinicians in this Medicare group
NPI 1992172019 (281) 592-5400
Ess Of Nacogdoches LLC
119 mi
Emergency Medicine
1204 N MOUND ST
Nacogdoches, TX 75961
  • Reassigned Medicare billing, Texas enrollment
  • 109 clinicians in this Medicare group
NPI 1780139956 (936) 564-4611
Ess Of Port Lavaca LLC
128 mi
Emergency Medicine
815 N VIRGINIA ST
Port Lavaca, TX 77979
  • Reassigned Medicare billing, Texas enrollment
  • 109 clinicians in this Medicare group
NPI 1922546936 (361) 552-6713
Ess Of Fairfield LLC
137 mi
Emergency Medicine
125 NEWMAN ST
Fairfield, TX 75840
  • Reassigned Medicare billing, Texas enrollment
  • 76 clinicians in this Medicare group
NPI 1588132856 (866) 931-8882
Hcc Of Fairfield LLC
137 mi
Internal Medicine
125 NEWMAN ST
Fairfield, TX 75840
  • Reassigned Medicare billing, Texas enrollment
  • 68 clinicians in this Medicare group
NPI 1487122750 (866) 931-8882
Ipc Healthcare Services Of Texas, PLLC
204 mi
Hospitalist
7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 688 clinicians in this Medicare group
NPI 1023403011 (210) 344-7287
Concord Medical Group Of Texas PLLC
468 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
NPI 1750790762 (888) 264-0330

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 8

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
81 services58 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
57 services36 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
39 services24 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
29 services21 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
29 services27 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77532 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Other Providers at the Same Location NPPES

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

LOUGHRAN MEDICAL ARTS
Family Medicine
3635 SHORE SHADOWS DR
CROSBY, TX 77532
Harris County (765) 318-0611

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 James Loughran's NPI number?

The NPI number for James Loughran is 1588643753. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is James Loughran located?

James Loughran practices at 3635 Shore Shadows Dr, Crosby, TX 77532. The listed phone number is (765) 318-0611.

What is James Loughran's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Loughran enrolled in Medicare?

Yes. James Loughran 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 James Loughran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Loughran reassigns Medicare benefits to 11 organizations: Get Well Healthcare Services (Humble, TX), American Current Care, P.A. (Houston, TX), Ess Of South Texas LLC (Liberty, TX), Emergency Hospital Systems LLC (Cleveland, TX), Ess Of Nacogdoches LLC (Nacogdoches, TX) and 6 more organizations, 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 James Loughran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Loughran accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, HMSA, Oscar Health and Oscar Health Insurance and 5 other insurers list James Loughran 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.

When was this NPI record last updated?

The NPPES record for James Loughran was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.