ANDREA MARIE MCLOUGHLIN , M.D.
NPI 1689011520
Family Medicine in Clarion, IA

Active since June 02, 2013PECOS EnrolledAccepts Medicare Assignment
215 13TH AVE SW, CLARION, IA 50525(515) 532-2836(515) 532-2523 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, Jul 21, 2022, Nov 22, 2017 and 1 more (4 updates tracked since 2016).

About Andrea Marie Mcloughlin , M.d. NPPES

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

ANDREA MARIE MCLOUGHLIN , M.D. (NPI 1689011520) is an individual family medicine provider in Clarion, Iowa, licensed in Iowa (42287) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Iowa Specialty Hospital - Clarion, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689011520
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANDREA MARIE MCLOUGHLINCredential: , M.D.
Location Address215 13TH AVE SWClarion, IA 50525-2078
Mailing Address1316 S Main StClarion, IA 50525-2019 · (515) 532-2811 · Fax (515) 532-9336
Fax(515) 532-2523
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 2, 2013
Last NPPES UpdateAugust 13, 20244 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
NPI 1689011520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IA · 42287 Licensed in WA · MD60623728
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.
215 13TH AVE SW, Clarion, IA 50525

Other Names 1

Former Name (1)Andrea Marie Ahrendsen M.d.

Secondary Practice Locations 2

Location 11316 S Main StClarion, IA 50525-2019 · Phone (515) 532-2811 · Fax (515) 532-9336
Location 2403 1st St SEBelmond, IA 50421-1201 · Phone (641) 444-3500 · Fax (641) 444-5688

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

Andrea Marie Mcloughlin , 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 ID4082845573
PECOS Enrollment IDI20160920000052
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.

Hospital Affiliations CMS Care Compare

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

Iowa Specialty Hospital - Clarion

Critical Access Hospitals · Clarion, IA
OwnershipGovernment - Local
CMS Certification Number161302
Location1316 South Main StreetClarion, IA 50525 · Wright County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50525 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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

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
2 suppliers19 claims34 services$6.13 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.

Social Worker
215 13TH AVE SW
CLARION, IA 50525
Family Medicine
215 13TH AVE SW
CLARION, IA 50525
Internal Medicine
215 13TH AVE SW
CLARION, IA 50525
Nurse Practitioner (Family)
215 13TH AVE SW
CLARION, IA 50525
Pharmacist
215 13TH AVE SW
CLARION, IA 50525
Family Medicine
215 13TH AVE SW
CLARION, IA 50525
Counselor (Mental Health)
215 13TH AVE SW
CLARION, IA 50525
Family Medicine
215 13TH AVE SW
CLARION, IA 50525

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 Andrea Mcloughlin's NPI number?

The NPI number for Andrea Mcloughlin is 1689011520. It was assigned to this individual provider in the NPPES registry on June 2, 2013. The provider is also known as Andrea Marie Ahrendsen M.D..

Where is Andrea Mcloughlin located?

Andrea Mcloughlin practices at 215 13th Ave SW, Clarion, IA 50525. The listed phone number is (515) 532-2836.

What is Andrea Mcloughlin's specialty?

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

Is Andrea Mcloughlin enrolled in Medicare?

Yes. Andrea Mcloughlin 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 Andrea Mcloughlin accept?

Health plans from Medica list Andrea Mcloughlin 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 Andrea Mcloughlin affiliated with any hospitals?

According to CMS data, Andrea Mcloughlin is affiliated with Iowa Specialty Hospital - Clarion.

When was this NPI record last updated?

The NPPES record for Andrea Mcloughlin was last updated on August 13, 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.