MICHAEL LOUGHNER MD
NPI 1639216906
Internal Medicine - Endocrinology, Diabetes & Metabolism in Denver, CO

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
74.43/100
CMS Quality Rating
950 E HARVARD AVE, SUITE 660, DENVER, CO 80210(720) 399-6555(720) 399-6555 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Loughner Md NPPES

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

MICHAEL LOUGHNER MD (NPI 1639216906) is an individual endocrinology, diabetes & metabolism provider in Denver, Colorado, licensed in Colorado (44334) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Chicago College Of Medicine And Surgery (2003).

NPPES Registry Identity

NPI1639216906
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameMICHAEL LOUGHNERCredential: MD
Location Address950 E HARVARD AVE, SUITE 660Denver, CO 80210-7009
Mailing Address950 E Harvard Ave, Suite 660Denver, CO 80210-7009 · (720) 399-6555 · Fax (720) 399-0511
Fax(720) 399-6555
Sole ProprietorYes
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2003
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJanuary 12, 2016
NPI 1639216906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CO · 44334
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

950 E HARVARD AVE, Denver, CO 80210

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

Michael Loughner 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 ID6608929195
PECOS Enrollment IDI20090730000611
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
995 services489 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
197 services67 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
79 services78 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
67 services47 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
59 services58 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
58 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80210 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

74.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.72
Improvement Activities40
Cost52.48

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
24 suppliers51 claims268 services$6.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers13 claims29 services$1.13 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
10 suppliers226 claims236 services$183.56 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
950 E HARVARD AVE, #530
DENVER, CO 80210
Internal Medicine (Nephrology)
950 E HARVARD AVE, SUITE 240
DENVER, CO 80210
Internal Medicine (Nephrology)
950 E HARVARD AVE, SUITE 240
DENVER, CO 80210
Thoracic Surgery (Cardiothoracic Vascular Surgery)
950 E HARVARD AVE, SUITE 550
DENVER, CO 80210
Surgery (Vascular Surgery)
950 E HARVARD AVE, SUITE 550
DENVER, CO 80210
Thoracic Surgery (Cardiothoracic Vascular Surgery)
950 E HARVARD AVE, SUITE 550
DENVER, CO 80210
Family Medicine
950 E HARVARD AVE, SUITE 110
DENVER, CO 80210
Ophthalmology
950 E HARVARD AVE, SUITE 380
DENVER, CO 80210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639216906, enumerated as an "individual" on January 30, 2007.

The provider is located at 950 E HARVARD AVE SUITE 660 DENVER, CO 80210 and the phone number is (720) 399-6555.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.