Thomas Loughney, MD
NPI 1164538484 · Gastroenterology Physician · Washington, DC
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Loughney, MD is a Gastroenterology Physician provider in Washington, DC (NPI 1164538484).
Provider details
- NPI number
- 1164538484
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD33485 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,041 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 187 | $280 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 145 | $151 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 144 | $106 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 124 | $99 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 97 | $122 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 71 | 23 |
| Amitriptyline Hcl | 63 | 19 |
| Linaclotidebrand: Linzess | 46 | 14 |
| Esomeprazole Magnesium | 44 | 18 |
| Mesalamine | 31 | — |
| Famotidine | 28 | 13 |
| Omeprazole | 24 | — |
| Budesonide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$13 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2013-07-15
Frequently asked questions
- What is Thomas Loughney's NPI number?
- Thomas Loughney's National Provider Identifier (NPI) is 1164538484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Loughney's specialty?
- Thomas Loughney is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Loughney located?
- Thomas Loughney's practice location on file with NPPES is 3301 New Mexico Ave Nw, Washington, DC 20016.
- What is Thomas Loughney's phone number?
- The practice phone number listed in the NPPES registry for Thomas Loughney is (202) 966-3376.
- Does Thomas Loughney accept Medicare?
- Thomas Loughney is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Loughney's NPI active?
- Yes — Thomas Loughney's NPI (1164538484) is active in the NPPES registry as of the last update on 2013-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.