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THOMAS JOSEPH LOUGHLIN JR. PA-C
NPI 1871012617
Physician Assistant in Albany, NY

Active since September 13, 2017PECOS EnrolledAccepts Medicare Assignment
78.7/100
CMS Quality Rating
98 WOLF RD STE 16, ALBANY, NY 12205(518) 264-9000 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2018, Sep 13, 2017 (2 updates tracked since 2017).

About Thomas Joseph Loughlin Jr. Pa-c NPPES

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

THOMAS JOSEPH LOUGHLIN JR. PA-C (NPI 1871012617) is an individual physician assistant in Albany, New York and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1871012617
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS JOSEPH LOUGHLIN JR.Credential: PA-C
Location Address98 WOLF RD STE 16Albany, NY 12205
Mailing Address730 Hoosick RdTroy, NY 12180-8777
Phone(518) 264-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 13, 2017
Last NPPES UpdateAugust 24, 20182 updates tracked since enumeration
✔ NPI 1871012617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
98 WOLF RD STE 16, Albany, NY 12205
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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

Thomas Joseph Loughlin Jr. Pa-c 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 ID7911273339
PECOS Enrollment IDI20171030001427
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services41 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
38 services36 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.
27 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330215
Location1500 North James StreetRome, NY 13440 · Oneida County
Emergency services Birthing friendly

Lewis County General Hospital

Critical Access Hospitals · Lowville, NY
OwnershipGovernment - Local
CMS Certification Number331317
Location7785 North State StreetLowville, NY 13367 · Lewis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12205 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

78.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.73
Promoting Interoperability99
Improvement Activities40
Cost42.38

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%146 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
85%188 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

VALENCIA DERBIE GUILLAUME PA-C
Physician Assistant (Medical)
98 WOLF RD STE 16
ALBANY, NY 12205
Albany County (518) 264-9000
NICOLE ROSSI PA-C
Physician Assistant
98 WOLF RD STE 16
ALBANY, NY 12205
Albany County (518) 264-9000
MELISSA L HETZLER FNP-BC
Nurse Practitioner (Family)
98 WOLF RD STE 16
ALBANY, NY 12205
Albany County (518) 264-9000
ISADORA PARK PA-C
Physician Assistant
98 WOLF RD STE 16
ALBANY, NY 12205
Albany County (518) 264-9000

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 Thomas Loughlin's NPI number?

The NPI number for Thomas Loughlin is 1871012617. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Thomas Loughlin located?

Thomas Loughlin practices at 98 Wolf Rd Ste 16, Albany, NY 12205. The listed phone number is (518) 264-9000.

What is Thomas Loughlin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Loughlin enrolled in Medicare?

Yes. Thomas 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.

Is Thomas Loughlin affiliated with any hospitals?

According to CMS data, Thomas Loughlin is affiliated with Wynn Hospital, Rome Memorial Hospital, Inc and Lewis County General Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Loughlin was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.