MR. TIMOTHY MICHAEL LOONEY NP
NPI 1609523380
Nurse Practitioner - Family in West Columbia, SC

Active since March 03, 2022PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
132 SUNSET CT, WEST COLUMBIA, SC 29169(803) 936-7450(803) 936-7450 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2023, Mar 3, 2022 (2 updates tracked since 2022).

About Mr. Timothy Michael Looney Np NPPES

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

MR. TIMOTHY MICHAEL LOONEY NP (NPI 1609523380) is an individual family provider in West Columbia, South Carolina, licensed in South Carolina (27449) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609523380
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. TIMOTHY MICHAEL LOONEYCredential: NP
Location Address132 SUNSET CTWest Columbia, SC 29169-2429
Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 791-2203
Fax(803) 936-7450
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 3, 2022
Last NPPES UpdateMay 2, 20252 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
NPI 1609523380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in SC · 27449 Licensed in NC · 5015877
132 SUNSET CT, West Columbia, SC 29169

Secondary Practice Locations 2

Location 13670 S New Hope Rd Ste 1Gastonia, NC 28056-8597 · Phone (704) 824-4560
Location 2233 Longtown RdColumbia, SC 29229-8550 · Phone (803) 865-2122

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

Mr. Timothy Michael Looney Np 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 ID5092199760
PECOS Enrollment IDI20230821001714
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 4

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.
70 services57 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.
42 services39 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.
40 services32 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Other Providers at the Same Location NPPES 14

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

Dietitian, Registered
132 SUNSET CT
WEST COLUMBIA, SC 29169
Dietitian, Registered
132 SUNSET CT
WEST COLUMBIA, SC 29169
Dietitian, Registered
132 SUNSET CT
WEST COLUMBIA, SC 29169
Nurse Practitioner (Adult Health)
132 SUNSET CT
WEST COLUMBIA, SC 29169
Internal Medicine (Endocrinology, Diabetes & Metabolism)
132 SUNSET CT
WEST COLUMBIA, SC 29169
Internal Medicine (Endocrinology, Diabetes & Metabolism)
132 SUNSET CT
WEST COLUMBIA, SC 29169
Nurse Practitioner
132 SUNSET CT
WEST COLUMBIA, SC 29169
Internal Medicine (Endocrinology, Diabetes & Metabolism)
132 SUNSET CT
WEST COLUMBIA, SC 29169

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 Timothy Looney's NPI number?

The NPI number for Timothy Looney is 1609523380. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Where is Timothy Looney located?

Timothy Looney practices at 132 Sunset Ct, West Columbia, SC 29169. The listed phone number is (803) 936-7450.

What is Timothy Looney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Timothy Looney enrolled in Medicare?

Yes. Timothy 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.

What insurance does Timothy Looney accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Timothy Looney 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 Timothy Looney affiliated with any hospitals?

According to CMS data, Timothy Looney is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Looney was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.