Active NPI 1508096025 Individual Practitioner Female Practitioner

Dr. Nicole Ming Ming Loo , MD

Transplant Surgery • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Loo, MD is a certified Transplant Surgery practicing in Jacksonville, FL. With approximately 17 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2009, Dr. Loo delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Dr. Loo is affiliated with Mayo Clinic Jacksonville and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000

Associated Practice Facility / Clinic

🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Transplant Surgery in Jacksonville, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -2.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

9 Specialists

Practicing in Jacksonville, FL (65 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Loo (17 Years) 17 Yrs

Jacksonville Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	149	107	$637.00	$174.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	91	$473.00	$122.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	20	$469.00	$116.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	19	$314.00	$77.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$851.00	$215.48
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	21	14	$71.00	$16.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$743.00	$156.31
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$312.00	$84.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	123	93	$604.00	$176.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	86	$450.00	$125.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	14	$314.00	$80.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	15	$452.00	$120.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$891.00	$214.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$707.00	$166.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	83	$450.00	$125.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	22	$452.00	$101.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	48	$604.00	$173.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$707.00	$167.33
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	33	$46.00	$22.43
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$296.00	$89.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$891.00	$207.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	110	$167.91	$124.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	97	27	$118.84	$98.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	61	$197.45	$179.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$199.91	$166.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$200.00	$92.44
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$98.27	$91.00
76700 Ultrasound of abdomen	19	19	$180.89	$80.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$223.49	$223.49
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$22.18	$22.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	125	$200.00	$103.79
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	157	36	$85.00	$40.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	80	$200.00	$75.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	22	$165.00	$100.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$250.00	$160.24
76700 Ultrasound of abdomen	72	59	$175.00	$77.69
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	32	13	$74.00	$36.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$270.00	$105.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$270.00	$123.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$380.00	$185.40
91200 Measurement of liver stiffness	12	12	$200.00	$35.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	241	45	$85.00	$40.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	149	$200.00	$74.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	126	$200.00	$102.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	95	29	$165.00	$101.17
76700 Ultrasound of abdomen	83	65	$175.00	$75.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$250.00	$158.41
91200 Measurement of liver stiffness	38	38	$200.00	$37.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	25	$270.00	$105.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	27	$380.00	$196.68
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$140.00	$70.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$270.00	$125.89
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	17	17	$130.00	$60.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$250.00	$125.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	224	42	$85.00	$39.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	111	$200.00	$97.80
76700 Ultrasound of abdomen	80	63	$175.00	$75.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	18	$165.00	$86.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	34	$200.00	$74.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$200.00	$101.06
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$140.00	$68.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$250.00	$152.37
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	27	21	$190.00	$86.93
91200 Measurement of liver stiffness	25	25	$130.00	$37.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$380.00	$168.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	116	$200.00	$101.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	135	34	$135.00	$68.91
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	127	60	$85.00	$39.77
76700 Ultrasound of abdomen	71	58	$240.35	$74.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	22	$178.33	$98.22
80053 Blood test, comprehensive group of blood chemicals	48	43	$30.00	$12.22
99213 Established patient office or other outpatient visit, typically 15 minutes	43	35	$140.00	$68.00
85004 White blood cell count	38	35	$18.00	$8.69
85045 Red blood count, automated test	37	35	$11.00	$5.37
36415 Insertion of needle into vein for collection of blood sample	36	33	$6.00	$2.94
85610 Blood test, clotting time	36	33	$11.00	$5.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	29	$200.00	$72.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$200.00	$101.83
82105 Alpha-fetoprotein (afp) level, serum	18	18	$48.00	$22.55
91200 Measurement of liver stiffness	16	16	$350.00	$35.92
82248 Bilirubin level, direct	15	14	$14.00	$4.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	12	$250.00	$130.50
85730 Coagulation assessment blood test, plasma or whole blood	13	13	$17.00	$8.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$282.08	$154.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$380.00	$193.31

Medical Specialties & State Licenses

CMS Verified: 2021-05-25

Transplant Surgery Primary Specialty

NUCC Taxonomy Code: 204F00000X

State License FL ME150435

A surgeon who specializes in transplant surgery.

Internal Medicine - Gastroenterology

NUCC Taxonomy Code: 207RG0100X

State License TX Q9419

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Internal Medicine - Hepatology

NUCC Taxonomy Code: 207RI0008X

State License TX Q9419

The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

364366001 (TX)

Hospital & Practice Group Affiliations

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Secondary Practice Locations

1111 W 34th St Ste 210

Austin, TX 787051916

Phone: 5124548378

1130 Cottonwood Creek Trl Ste C1

Cedar Park, TX 786137862

Phone: 5124548378

607 Camden St, Suite 108

San Antonio, TX 78215

Phone: 2102533426

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

Dr. Ricardo Pagan , MD

Hospitalist

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location April 03, 2021

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address April 03, 2021

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2021

Internal Medicine (License #Q9419 in TX)

📍

Updated Practice Location May 25, 2018

Registered at 607 CAMDEN ST, SUITE 108, SAN ANTONIO, TX 78215 (Tel: 2102533426)

✅

NPI Profile Active December 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 06, 2017

Registered at 607 CAMDEN ST, SUITE 108, SAN ANTONIO, TX 782151610 (Tel: 2102533426)

📍

Updated Business Mailing Address December 06, 2017

Registered at 607 CAMDEN ST, SUITE 108, SAN ANTONIO, TX 782151610 (Tel: 2102533426)

👤

Provider Name / Credentials Updated December 06, 2017

Recorded as NICOLE LOO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2017

Internal Medicine (License #Q9419 in TX)

✅

NPI Profile Active September 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 29, 2016

Registered at 607 CAMDEN ST, SUITE 108, SAN ANTONIO, TX 782151610 (Tel: 2102533426)

📍

Updated Business Mailing Address September 29, 2016

Registered at 607 CAMDEN ST, SUITE 108, SAN ANTONIO, TX 782151610 (Tel: 2102533426)

👤

Provider Name / Credentials Updated September 29, 2016

Recorded as NICOLE LOO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2016

Internal Medicine (License #53078 in MN)

🟢

Initial NPI Registration & Enumeration July 17, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508096025

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 17, 2009

Last Update: May 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 9049532000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.