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DR. COLM J O'LOUGHLIN MD
NPI 1689625139
Internal Medicine - Gastroenterology in Raleigh, NC

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
2417 ATRIUM DR, SUITE 150, RALEIGH, NC 27607(919) 791-2040(919) 791-2041 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Colm J O'loughlin Md NPPES

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

DR. COLM J O'LOUGHLIN MD (NPI 1689625139) is an individual gastroenterology provider in Raleigh, North Carolina, licensed in North Carolina (2007-00290) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1689625139
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. COLM J O'LOUGHLINCredential: MD
Location Address2417 ATRIUM DR, SUITE 150Raleigh, NC 27607
Mailing Address2417 Atrium Dr, Suite 150Raleigh, NC 27607-6673 · (919) 791-2040 · Fax (919) 791-2041
Phone(919) 791-2040
Fax(919) 791-2041
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 12, 2006
Last NPPES UpdateJune 4, 2018
✔ NPI 1689625139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NC · 2007-00290
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2417 ATRIUM DR, Raleigh, NC 27607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Dr. Colm J O'loughlin 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 ID1759482953
PECOS Enrollment IDI20070718000251
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 8

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
84 services84 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.
83 services72 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
72 services70 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
42 services42 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
34 services34 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

DR. MATTHEW F ALVAREZ M.D.
Obstetrics & Gynecology
2417 ATRIUM DR, SUITE 200
RALEIGH, NC 27607
Wake County (919) 781-9555
DR. CHARLES S WEHBIE MD
Internal Medicine
2417 ATRIUM DR, SUITE 250
RALEIGH, NC 27607
Wake County (919) 781-9650
DR. RIG SUBHASH PATEL MD
Internal Medicine (Gastroenterology)
2417 ATRIUM DR, SUITE 150
RALEIGH, NC 27607
Wake County (919) 791-2040
DR. RUTH MOKEBA EKANGAKI MD
Internal Medicine (Gastroenterology)
2417 ATRIUM DR, SUITE 150
RALEIGH, NC 27607
Wake County (919) 791-2075
WOMENS HEALTH ALLIANCE, PA
Obstetrics & Gynecology
2417 ATRIUM DR, SUITE 200
RALEIGH, NC 27607
Wake County (919) 781-9555
MURTAZA PAREKH MD
Internal Medicine (Gastroenterology)
2417 ATRIUM DR, SUITE 150
RALEIGH, NC 27607
Wake County (919) 791-2040
DR. ROBERT HAMILTON SMITHSON SR. MD
Internal Medicine
2417 ATRIUM DR, SUITE 250
RALEIGH, NC 27607
Wake County (919) 781-9650
DIGESTIVE HEALTHCARE, PA
Internal Medicine (Gastroenterology)
2417 ATRIUM DR, SUITE 150
RALEIGH, NC 27607
Wake County (919) 791-2040

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 Colm O'loughlin's NPI number?

The NPI number for Colm O'loughlin is 1689625139. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Colm O'loughlin located?

Colm O'loughlin practices at 2417 Atrium Dr Suite 150, Raleigh, NC 27607. The listed phone number is (919) 791-2040.

What is Colm O'loughlin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Colm O'loughlin enrolled in Medicare?

Yes. Colm O'loughlin 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 Colm O'loughlin accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Colm O'loughlin 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 Colm O'loughlin affiliated with any hospitals?

According to CMS data, Colm O'loughlin is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Colm O'loughlin was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.