DR. NICHOLAS PETER LOUGHMAN DO
NPI 1699236802
Psychiatry & Neurology - Psychiatry in Kansas City, KS

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
2000 OLATHE, KANSAS CITY, KS 66160(913) 588-1300(913) 588-1310 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2024, May 5, 2023, Nov 24, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Nicholas Peter Loughman Do NPPES

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

DR. NICHOLAS PETER LOUGHMAN DO (NPI 1699236802) is an individual psychiatry provider in Kansas City, Kansas, licensed in Kansas (05-48184) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699236802
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. NICHOLAS PETER LOUGHMANCredential: DO
Location Address2000 OLATHEKansas City, KS 66160-8501
Mailing Address3901 Rainbow BlvdKansas City, KS 66160-8500 · (913) 588-1300 · Fax (913) 588-1310
Fax(913) 588-1310
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateJune 7, 20244 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
NPI 1699236802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in KS · 05-48184 Licensed in MO · 2024004531
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2000 OLATHE, Kansas City, KS 66160

Other Identifiers 2

Medicaid05-48184KS
Medicaid2024004531MO

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

Dr. Nicholas Peter Loughman Do 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 ID1254666951
PECOS Enrollment IDI20230928002438
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 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.
294 services126 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
234 services30 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.
129 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
73 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services17 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$161.67 typical visit price
range $53.00 – $161.67
Typical copayment $40.41 (range $13.25 – $40.41)
Most-billed visit code 99205
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Obstetrics & Gynecology)
2000 OLATHE
KANSAS CITY, KS 66160
Nurse Practitioner (Family)
2000 OLATHE
KANSAS CITY, KS 66160
Psychologist
2000 OLATHE
KANSAS CITY, KS 66160
Occupational Therapist
2000 OLATHE
KANSAS CITY, KS 66160
Psychologist
2000 OLATHE
KANSAS CITY, KS 66160
Nurse Practitioner (Family)
2000 OLATHE
KANSAS CITY, KS 66160
Pediatrics
2000 OLATHE
KANSAS CITY, KS 66160
Nurse Practitioner (Acute Care)
2000 OLATHE
KANSAS CITY, KS 66160

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 Nicholas Loughman's NPI number?

The NPI number for Nicholas Loughman is 1699236802. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Nicholas Loughman located?

Nicholas Loughman practices at 2000 Olathe, Kansas City, KS 66160. The listed phone number is (913) 588-1300.

What is Nicholas Loughman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nicholas Loughman enrolled in Medicare?

Yes. Nicholas Loughman 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 Nicholas Loughman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Nicholas Loughman 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 Nicholas Loughman affiliated with any hospitals?

According to CMS data, Nicholas Loughman is affiliated with University Of Kansas Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Loughman was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.