MARY ELLEN LOUGHREY O.D.
NPI 1801894068
Optometrist in Williamsville, NY

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
85.65/100
CMS Quality Rating
40 N UNION RD, NISWANDER EYE CENTER, WILLIAMSVILLE, NY 14221(716) 634-4441(716) 634-3174 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Ellen Loughrey O.d. NPPES

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

MARY ELLEN LOUGHREY O.D. (NPI 1801894068) is an individual optometrist in Williamsville, New York, licensed in New York (VUT005781-1) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1996).

NPPES Registry Identity

NPI1801894068
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARY ELLEN LOUGHREYCredential: O.D.
Location Address40 N UNION RD, NISWANDER EYE CENTERWilliamsville, NY 14221-5339
Mailing Address40 N Union RdWilliamsville, NY 14221-5339 · (716) 634-4441 · Fax (716) 634-3174
Fax(716) 634-3174
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1996
Enumeration DateJuly 12, 2005
Last NPPES UpdateMarch 7, 2022
NPPES CertifiedMarch 7, 2022
NPI 1801894068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NY · VUT005781-1
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

40 N UNION RD, Williamsville, NY 14221

Other Identifiers 1

Medicaid01976567NY

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

Mary Ellen Loughrey O.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 ID244415198
PECOS Enrollment IDI20110419000982
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 4

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
85 services81 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
73 services48 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
24 services22 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

85.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability90
Improvement Activities40
Cost60.51

Other Providers at the Same Location NPPES 11

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

Dentist (Oral and Maxillofacial Surgery)
40 N UNION RD, SUITE 2
WILLIAMSVILLE, NY 14221
Dentist (Oral and Maxillofacial Surgery)
40 N UNION RD, SUITE 2
WILLIAMSVILLE, NY 14221
Dentist (Pediatric Dentistry)
40 N UNION RD
WILLIAMSVILLE, NY 14221
Optometrist
40 N UNION RD
WILLIAMSVILLE, NY 14221
Technician/Technologist (Optician)
40 N UNION RD
BUFFALO, NY 14221
Technician/Technologist (Optician)
40 N UNION RD
BUFFALO, NY 14221
Dentist (Pediatric Dentistry)
40 N UNION RD, SUITE 1
WILLIAMSVILLE, NY 14221
Ophthalmology
40 N UNION RD, NISWANDER EYE CENTER
WILLIAMSVILLE, NY 14221

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 Mary Ellen Loughrey's NPI number?

The NPI number for Mary Ellen Loughrey is 1801894068. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Mary Ellen Loughrey located?

Mary Ellen Loughrey practices at 40 N Union Rd Niswander Eye Center, Williamsville, NY 14221. The listed phone number is (716) 634-4441.

What is Mary Ellen Loughrey's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mary Ellen Loughrey enrolled in Medicare?

Yes. Mary Ellen Loughrey 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 Mary Ellen Loughrey accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Mary Ellen Loughrey 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.

When was this NPI record last updated?

The NPPES record for Mary Ellen Loughrey was last updated on March 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.