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LOREN MICHAEL KIRCHNER MD
NPI 1952382285
Internal Medicine in Wooster, OH

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
1685 CLEVELAND RD STE 101, WOOSTER, OH 44691(330) 287-2995(330) 287-2996 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Loren Michael Kirchner Md NPPES

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

LOREN MICHAEL KIRCHNER MD (NPI 1952382285) is an individual internal medicine provider in Wooster, Ohio, licensed in Ohio (35080981K) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Wooster Community Hospital, and maintains a secondary practice location in Wooster.

NPPES Registry Identity

NPI1952382285
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLOREN MICHAEL KIRCHNERCredential: MD
Location Address1685 CLEVELAND RD STE 101Wooster, OH 44691-2335
Mailing Address2326a Eagle PassWooster, OH 44691-5338 · (330) 202-3477 · Fax (330) 202-3478
Phone(330) 287-2995
Fax(330) 287-2996
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1999
Enumeration DateNovember 14, 2005
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1952382285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35080981K
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1685 CLEVELAND RD STE 101, Wooster, OH 44691
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Secondary Practice Location 1

Location 12326A Eagle PassWooster, OH 44691-5338 · Phone (330) 202-3477 · Fax (330) 202-3478

Other Identifiers 2

Medicaid2345368OH
OtherH553601Medicare Upin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Loren Michael Kirchner 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 ID2163419011
PECOS Enrollment IDI20040430000638
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Loren Kirchner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bloomington Medical Services LLC
0.3 mi
Internal Medicine
1761 BEALL AVE
Wooster, OH 44691
  • Reassigned Medicare billing, Ohio enrollment
  • 126 clinicians in this Medicare group
NPI 1528246683 (330) 263-8428
Health Professionals Of Holmes County, Inc
17 mi
Primary Care
1261 WOOSTER RD, SUITE 200
Millersburg, OH 44654
  • Reassigned Medicare billing, Ohio enrollment
  • 83 clinicians in this Medicare group
NPI 1083897987 (330) 674-2822

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
181 services111 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.
101 services72 patients

Hospital Affiliations CMS Care Compare

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

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360036
Location1761 Beall AvenueWooster, OH 44691 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44691 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES

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

NATHAN JAMES MCCARTNEY CNP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1685 CLEVELAND RD STE 101
WOOSTER, OH 44691
Wayne County (330) 263-8470

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 Loren Kirchner's NPI number?

The NPI number for Loren Kirchner is 1952382285. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Loren Kirchner located?

Loren Kirchner practices at 1685 Cleveland Rd Ste 101, Wooster, OH 44691. The listed phone number is (330) 287-2995.

What is Loren Kirchner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Loren Kirchner enrolled in Medicare?

Yes. Loren Kirchner 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.

Which organizations bill Medicare for Loren Kirchner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loren Kirchner reassigns Medicare benefits to 2 organizations: Bloomington Medical Services LLC (Wooster, OH) and Health Professionals Of Holmes County, Inc (Millersburg, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Loren Kirchner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Loren Kirchner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Loren Kirchner 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 Loren Kirchner affiliated with any hospitals?

According to CMS data, Loren Kirchner is affiliated with Wooster Community Hospital.

When was this NPI record last updated?

The NPPES record for Loren Kirchner was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.