KEVIN THOMAS LOUGHRY DO
NPI 1609190586
Internal Medicine in Oak Lawn, IL

Active since March 21, 2010PECOS EnrolledAccepts Medicare Assignment
4220 W 95TH ST, STE 200, OAK LAWN, IL 60453(708) 398-0287(708) 398-0281 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2025, Dec 15, 2021, Oct 24, 2018 (3 updates tracked since 2018).

About Kevin Thomas Loughry Do NPPES

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

KEVIN THOMAS LOUGHRY DO (NPI 1609190586) is an individual internal medicine provider in Oak Lawn, Illinois, licensed in Illinois (036-134753) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1609190586
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEVIN THOMAS LOUGHRYCredential: DO
Location Address4220 W 95TH ST, STE 200Oak Lawn, IL 60453-3072
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Fax(708) 398-0281
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 21, 2010
Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
NPI 1609190586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036-134753
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.
4220 W 95TH ST, Oak Lawn, IL 60453

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

Kevin Thomas Loughry Do 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 ID1951536127
PECOS Enrollment IDI20140630001021
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 14

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
260 services189 patients
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.
164 services68 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
160 services124 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
79 services79 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services44 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.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 3

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
7 suppliers20 claims55 services$5.88 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.32 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
2 suppliers11 claims11 services$185.12 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.

Pediatrics
4220 W 95TH ST
OAK LAWN, IL 60453
Pediatrics
4220 W 95TH ST
OAK LAWN, IL 60453
Pediatrics
4220 W 95TH ST
OAK LAWN, IL 60453
Hospitalist
4220 W 95TH ST
OAK LAWN, IL 60453
Hospitalist
4220 W 95TH ST
OAK LAWN, IL 60453
Dietitian, Registered
4220 W 95TH ST, SUITE 200
OAK LAWN, IL 60453
Pediatrics
4220 W 95TH ST
OAK LAWN, IL 60453
Pediatrics
4220 W 95TH ST
OAK LAWN, IL 60453

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 Kevin Loughry's NPI number?

The NPI number for Kevin Loughry is 1609190586. It was assigned to this individual provider in the NPPES registry on March 21, 2010.

Where is Kevin Loughry located?

Kevin Loughry practices at 4220 W 95th St Ste 200, Oak Lawn, IL 60453. The listed phone number is (708) 398-0287.

What is Kevin Loughry's specialty?

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

Is Kevin Loughry enrolled in Medicare?

Yes. Kevin Loughry 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 Kevin Loughry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kevin Loughry 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 Kevin Loughry affiliated with any hospitals?

According to CMS data, Kevin Loughry is affiliated with Advocate Trinity Hospital and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Loughry was last updated on March 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.