MICHAEL ALLEN LODEN MD
NPI 1922089382
Family Medicine in Waco, TX

Q: What is Michael Loden's NPI number?

The NPI number for Michael Loden is 1922089382. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Q: What is Michael Loden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Loden was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment

74.33/100

CMS Quality Rating

2100 LAKE SHORE DR, WACO, TX 76708(254) 755-0088(254) 755-6695 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Michael Allen Loden Md NPPES

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

MICHAEL ALLEN LODEN MD (NPI 1922089382) is an individual family medicine provider in Waco, Texas, licensed in Texas (K2951) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1996).

NPPES Registry Identity

NPI1922089382

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMICHAEL ALLEN LODENCredential: MD

Location Address2100 LAKE SHORE DRWaco, TX 76708-1271

Mailing Address1630 Church RdMc Gregor, TX 76657-3483 · (254) 848-5683

Phone(254) 755-0088

Fax(254) 755-6695

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1996

Enumeration DateNovember 10, 2005

Last NPPES UpdateJuly 9, 2007

✔ NPI 1922089382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · K2951

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.

2100 LAKE SHORE DR, Waco, TX 76708

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Other Identifiers 3

Medicare ID-Type Unspecified8900B7TX · Individual Medicare #

Medicare ID-Type Unspecified00508TTX · Medicare Group #

Medicare UPING50576TX

Accepted Insurance

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

Michael Allen Loden 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 ID7911976691

PECOS Enrollment IDI20100630000532

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 17

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.

1,003 services305 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

248 services248 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

129 services127 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

128 services126 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

107 services106 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

83 services36 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

72 services17 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

52 services12 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

50 services13 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

39 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

38 services33 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

27 services27 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

27 services27 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

26 services22 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

13 services13 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

11 services11 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450101

Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76708 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

74.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.69

Promoting Interoperability

100

Improvement Activities

Cost

41.75

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%382 patients

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Lower rates are better for this measure.

70%67 patients2/55-star benchmark: 100%

Advance Care Plan

85%713 patients4/55-star benchmark: 100%

Appropriate Treatment for Upper Respiratory Infection (URI)

42%33 patients2/55-star benchmark: 100%

Breast Cancer Screening

83%373 patients4/55-star benchmark: 93%

Cervical Cancer Screening

38%330 patients2/55-star benchmark: 98%

Chlamydia Screening for Women

20%80 patients

Closing the Referral Loop: Receipt of Specialist Report

59%840 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

86%914 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

76%864 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Antiplatelet Therapy

82%127 patients4/55-star benchmark: 100%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

9%381 patients1/55-star benchmark: 100%

Diabetes: Eye Exam

6%327 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

7%327 patients5/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%4,813 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

71%687 patients3/55-star benchmark: 100%

HIV Screening

10%1,013 patients1/55-star benchmark: 60%

Non-Recommended Cervical Cancer Screening in Adolescent Females

Lower rates are better for this measure.

11%37 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

29%1,552 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

75%950 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

29%1,431 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 83% · 1,508 patients

Patients screened: 84% · 1,508 patients

93%167 patients4/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 60% · 1,394 patients

Patients screened: 67% · 1,394 patients

3%105 patients

Rheumatoid Arthritis (RA): Functional Status Assessment

0%28 patients1/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

89%237 patients4/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%986 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 676 patients

Patients totalRate: 17% · 721 patients

17%721 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

9 suppliers25 claims50 services$6.74 avg. paid by Medicare

Male external catheter, with or without adhesive, disposable, each A4349

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims385 services$1.77 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$7.25 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers25 claims32 services$15.95 avg. paid by Medicare

Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction E1007

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$563.28 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers45 claims52 services$84.06 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 8

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

COLIN R BAILEY MD

Family Medicine

2100 LAKE SHORE DR
WACO, TX 76708

McLennan County (254) 537-6160

DR. JOSE CARLOS SEPULVEDA DO

Family Medicine

2100 LAKE SHORE DR
WACO, TX 76708

McLennan County (254) 537-6160

DR. ISAAC JAMES LIPPE M.D.

Family Medicine

2100 LAKE SHORE DR, #200
WACO, TX 76708

McLennan County (254) 537-6000

CLINT WILLIAM MCHENRY DO

Family Medicine

2100 LAKE SHORE DR
WACO, TX 76708

McLennan County (254) 537-6160

LAKE SHORE FAMILY MEDICINE, P.A.

Family Medicine

2100 LAKE SHORE DR
WACO, TX 76708

McLennan County (254) 755-0088

TRACY A KRAMER N.P.

Nurse Practitioner (Family)

2100 LAKE SHORE DR
WACO, TX 76708

McLennan County (254) 537-6160

DANNY SEAN JULIAN MD

Family Medicine

2100 LAKE SHORE DR
WACO, TX 76708

McLennan County (254) 755-0088

MARLA BIBLE RNFNPBC

Nurse Practitioner (Family)

2100 LAKE SHORE DR
WACO, TX 76708

McLennan County (254) 537-6160

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 Michael Loden's NPI number?

The NPI number for Michael Loden is 1922089382. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Michael Loden located?

Michael Loden practices at 2100 Lake Shore Dr, Waco, TX 76708. The listed phone number is (254) 755-0088.

What is Michael Loden's specialty?

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

Is Michael Loden enrolled in Medicare?

Yes. Michael Loden 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 Michael Loden accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael Loden 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 Michael Loden affiliated with any hospitals?

According to CMS data, Michael Loden is affiliated with Ascension Providence and Baylor Scott & White Medical Center Hillcrest.

When was this NPI record last updated?

The NPPES record for Michael Loden was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.