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JAMES KENNETH LOONEY M.D.
NPI 1659303535
Family Medicine in Highland Village, TX

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
2900 VILLAGE PKWY STE 300, HIGHLAND VILLAGE, TX 75077(469) 800-0500(469) 800-0510 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Kenneth Looney M.d. NPPES

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

JAMES KENNETH LOONEY M.D. (NPI 1659303535) is an individual family medicine provider in Highland Village, Texas, licensed in Texas (K4737) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center At Irving, and maintains a secondary practice location in Bedford.

NPPES Registry Identity

NPI1659303535
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES KENNETH LOONEYCredential: M.D.
Location Address2900 VILLAGE PKWY STE 300Highland Village, TX 75077-3301
Mailing Address2900 Village Pkwy Ste 300Highland Village, TX 75077-3301 · (469) 800-0500 · Fax (469) 800-0510
Phone(469) 800-0500
Fax(469) 800-0510
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1996
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1659303535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K4737
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2900 VILLAGE PKWY STE 300, Highland Village, TX 75077
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Secondary Practice Location 1

Location 11701 Forest Ridge DriveBedford, TX 76022-7959 · Phone (817) 545-7700 · Fax (817) 545-2298

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, Imperial Insurance Companies, Inc..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

James Kenneth 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 ID7618277971
PECOS Enrollment IDI20151118002853
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 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.
321 services249 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.
304 services220 patients
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.
197 services149 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.
179 services179 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
49 services47 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
47 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450079
Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450669
Location500 West Main StreetLewisville, TX 75057 · Denton County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670068
Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75077 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 2

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
9 suppliers14 claims30 services$5.27 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 claims13 services$183.90 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 3

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

KELLY A SCHERER ANP
Nurse Practitioner (Adult Health)
2900 VILLAGE PKWY STE 300
HIGHLAND VILLAGE, TX 75077
Denton County (469) 800-0500
ALANA NEIFORD
Physician Assistant
2900 VILLAGE PKWY STE 300
HIGHLAND VILLAGE, TX 75077
Denton County (469) 800-0500
MRS. CASSIE ANN SEITZ FNP BC, APRN
Nurse Practitioner (Family)
2900 VILLAGE PKWY STE 300
HIGHLAND VILLAGE, TX 75077
Denton County (469) 800-0500

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 Looney's NPI number?

The NPI number for James Looney is 1659303535. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is James Looney located?

James Looney practices at 2900 Village Pkwy Ste 300, Highland Village, TX 75077. The listed phone number is (469) 800-0500.

What is James Looney's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Looney enrolled in Medicare?

Yes. James 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 James Looney accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list James 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 James Looney affiliated with any hospitals?

According to CMS data, James Looney is affiliated with Baylor Scott & White Medical Center At Irving, Baylor Scott & White Medical Center Grapevine, Medical City Denton, Medical City Lewisville and Texas Health Presbyterian Hospital Flower Mound.

When was this NPI record last updated?

The NPPES record for James Looney was last updated on March 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.