RICHARD J LOONEY MD
NPI 1669492799
Allergy & Immunology in Rochester, NY

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
400 RED CREEK DR, SUITE 240, ROCHESTER, NY 14623(585) 486-0901(585) 340-5399 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 3, 2023, Feb 8, 2023 (2 updates tracked since 2023).

About Richard J Looney Md NPPES

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

RICHARD J LOONEY MD (NPI 1669492799) is an individual allergy & immunology provider in Rochester, New York, licensed in New York (138863) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1976).

NPPES Registry Identity

NPI1669492799
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameRICHARD J LOONEYCredential: MD
Location Address400 RED CREEK DR, SUITE 240Rochester, NY 14623-4273
Mailing Address601 Elmwood Ave, Box MedRochester, NY 14642-0001 · (585) 275-1646 · Fax (585) 276-2140
Fax(585) 340-5399
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1976
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 3, 20232 updates tracked since enumeration
✔ NPI 1669492799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in NY · 138863
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License 138863 (NY)
Also ListedInternal MedicineTaxonomy 207R00000X · License 138863 (NY)
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 138863 (NY)
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 138863 (NY)
400 RED CREEK DR, Rochester, NY 14623

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

Richard J Looney 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 ID3577531300
PECOS Enrollment IDI20040920001091
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

2

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

Allergy & Immunology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 40 clinicians in this Medicare group
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group

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 2

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.
139 services85 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.
40 services30 patients

Hospital Affiliations CMS Care Compare 3

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

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.

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims49 services$35.88 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims1,960 services$9.43 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 18

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

Internal Medicine (Rheumatology)
400 RED CREEK DR, SUITE 240
ROCHESTER, NY 14623
Physical Medicine & Rehabilitation
400 RED CREEK DR, STE 120
ROCHESTER, NY 14623
Internal Medicine (Pulmonary Disease)
400 RED CREEK DR, SUITE #110
ROCHESTER, NY 14623
Nurse Practitioner (Family)
400 RED CREEK DR
ROCHESTER, NY 14623
Internal Medicine (Rheumatology)
400 RED CREEK DR, SUITE 240
ROCHESTER, NY 14623
Nurse Practitioner (Family)
400 RED CREEK DR
ROCHESTER, NY 14623
Physician Assistant (Surgical)
400 RED CREEK DR, 120
ROCHESTER, NY 14623
Internal Medicine (Rheumatology)
400 RED CREEK DR, SUITE 240
ROCHESTER, NY 14623

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 Richard Looney's NPI number?

The NPI number for Richard Looney is 1669492799. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Richard Looney located?

Richard Looney practices at 400 Red Creek Dr Suite 240, Rochester, NY 14623. The listed phone number is (585) 486-0901.

What is Richard Looney's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Richard Looney enrolled in Medicare?

Yes. Richard 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 Richard Looney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Looney reassigns Medicare benefits to 2 organizations: Allergy - Immunology - Rheumatology Clinical Group (Rochester, NY) and University Of Rochester (Rochester, NY). 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 Richard Looney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Richard Looney affiliated with any hospitals?

According to CMS data, Richard Looney is affiliated with F F Thompson Hospital, St James Mercy Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Richard Looney was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.