DR. AUSTIN MACFARLAND LOONEY M.D.
NPI 1609230689
Orthopaedic Surgery - Sports Medicine in Atlanta, GA

Q: What is Austin Looney's NPI number?

The NPI number for Austin Looney is 1609230689. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Q: What is Austin Looney's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Austin Looney was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment

3200 DOWNWOOD CIR NW STE 410, ATLANTA, GA 30327(477) 940-4352(336) 275-5346 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2024, Jul 20, 2024, Sep 19, 2022 (3 updates tracked since 2022).

On this page

About Dr. Austin Macfarland Looney M.d. NPPES

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

DR. AUSTIN MACFARLAND LOONEY M.D. (NPI 1609230689) is an individual sports medicine provider in Atlanta, Georgia, licensed in Georgia (99137) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of University Of Virginia School Of Medicine (2016).

NPPES Registry Identity

NPI1609230689

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. AUSTIN MACFARLAND LOONEYCredential: M.D.

Location Address3200 DOWNWOOD CIR NW STE 410Atlanta, GA 30327-1624

Mailing Address3200 Downwood Cir Nw Ste 410Atlanta, GA 30327-1624 · (404) 352-4779

Phone(477) 940-4352

Fax(336) 275-5346

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2016

Enumeration DateApril 6, 2016

Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration

NPPES CertifiedNovember 7, 2024

✔ NPI 1609230689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in GA · 99137

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

3200 DOWNWOOD CIR NW STE 410, Atlanta, GA 30327

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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. Austin Macfarland Looney 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 ID9739582883

PECOS Enrollment IDI20240424001160

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

Medicare enrollment records show Austin Looney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanta Knee And Shoulder Clinic PC

22 mi

Specialist

1035 SOUTHCREST DR, SUITE 100
Stockbridge, GA 30281

Reassigned Medicare billing, Georgia enrollment
19 clinicians in this Medicare group

NPI 1538296678 (770) 389-9005

Southeastern Orthopaedic Specialists, PA

304 mi

Orthopaedic Surgery

1915 LENDEW ST
Greensboro, NC 27408

Reassigned Medicare billing, North Carolina enrollment
19 clinicians in this Medicare group

NPI 1790724706 (336) 275-3325

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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

40 services30 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

18 services14 patients

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.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Other Providers at the Same Location NPPES 2

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

ATLANTA KNEE AND SHOULDER CLINIC PC

Orthopaedic Surgery

3200 DOWNWOOD CIR NW STE 410
ATLANTA, GA 30327

Fulton County (404) 352-4779

PAUL V SPIEGL MD LLC

Orthopaedic Surgery (Foot and Ankle Surgery)

3200 DOWNWOOD CIR NW STE 410
ATLANTA, GA 30327

Fulton County (404) 566-8682

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 Austin Looney's NPI number?

The NPI number for Austin Looney is 1609230689. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Austin Looney located?

Austin Looney practices at 3200 Downwood Cir NW Ste 410, Atlanta, GA 30327. The listed phone number is (477) 940-4352.

What is Austin Looney's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Austin Looney enrolled in Medicare?

Yes. Austin Looney 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 Austin Looney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Austin Looney reassigns Medicare benefits to 2 organizations: Atlanta Knee And Shoulder Clinic PC (Stockbridge, GA) and Southeastern Orthopaedic Specialists, PA (Greensboro, NC). 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 Austin Looney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Austin Looney affiliated with any hospitals?

According to CMS data, Austin Looney is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Austin Looney was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.