Active NPI 1083659585 Individual Practitioner Male Practitioner

Dr. Timothy M Loughran , MD

Internal Medicine • Danvers, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Loughran, MD is a certified Internal Medicine practicing in Danvers, MA. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Loughran delivers high-quality medical care to the local community at 480 MAPLE ST STE 204.

Dr. Loughran is affiliated with Beth Israel Lahey Health Primary Care, Inc 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, 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, annual alcohol misuse screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

480 Maple St Ste 204

Danvers, MA 019234065

Telephone 9787740989

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Danvers, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +1.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

29 Specialists

Practicing in Danvers, MA (7127 Statewide)

Telehealth Adoption Rate

72.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Loughran (28 Years) 28 Yrs

Danvers Specialty Average (26.5 Years) 26.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	149	$398.80	$130.37
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	199	118	$57.82	$16.69
G0442 Annual alcohol misuse screening, 5 to 15 minutes	99	99	$66.33	$19.84
G0444 Annual depression screening, 5 to 15 minutes	74	74	$66.36	$19.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$416.97	$134.74
99213 Established patient office or other outpatient visit, typically 15 minutes	47	39	$319.77	$91.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$517.00	$166.96
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	34	34	$566.26	$171.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	24	$554.42	$185.32
90662 Influenza vaccine split virus, preservative free	32	32	$178.03	$81.82
G0008 Administration of influenza virus vaccine	32	32	$97.88	$32.81
G0180 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	21	20	$189.62	$55.49
81002 Urinalysis, manual test	17	15	$7.41	$3.41
99495 Transitional care management services for problem of at least moderate complexity	12	12	$631.92	$207.04
G0009 Administration of pneumococcal vaccine	11	11	$96.09	$32.81

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	235	123	$348.20	$128.34
99213 Established patient office or other outpatient visit, typically 15 minutes	81	67	$241.12	$87.74
G0444 Annual depression screening, 5 to 15 minutes	59	59	$62.64	$19.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$493.21	$169.89
96127 Assessment of emotional or behavioral problems	43	25	$50.05	$4.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$367.00	$131.85
93000 Routine ekg using at least 12 leads including interpretation and report	23	19	$62.96	$14.84
G0008 Administration of influenza virus vaccine	21	21	$94.43	$33.84
G0442 Annual alcohol misuse screening, 5 to 15 minutes	21	21	$56.71	$19.06
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$537.75	$168.19
90662 Influenza vaccine split virus, preservative free	20	20	$164.90	$71.93
81002 Urinalysis, manual test	17	15	$14.06	$3.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	12	$472.00	$182.89

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	659	406	$212.37	$89.26
99213 Established patient office or other outpatient visit, typically 15 minutes	427	337	$147.13	$75.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	250	250	$328.76	$52.37
93000 Routine ekg using at least 12 leads including interpretation and report	44	43	$61.20	$14.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	26	$278.00	$125.44
81003 Automated urinalysis test	24	21	$8.00	$2.23
G0008 Administration of influenza virus vaccine	19	19	$73.79	$30.75
99496 Transitional care management services for problem of high complexity	18	17	$469.00	$104.84
83036 Hemoglobin A1C level	18	17	$41.06	$9.59
99495 Transitional care management services for problem of at least moderate complexity	18	16	$338.50	$119.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$374.67	$155.36
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$448.00	$133.14
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	15	15	$183.00	$68.72

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	847	489	$207.00	$77.22
99213 Established patient office or other outpatient visit, typically 15 minutes	464	359	$140.00	$68.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	333	333	$329.00	$48.34
G0008 Administration of influenza virus vaccine	64	64	$72.00	$17.48
93000 Routine ekg using at least 12 leads including interpretation and report	57	52	$61.00	$15.45
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	55	55	$183.00	$66.43
99495 Transitional care management services for problem of at least moderate complexity	44	37	$334.00	$117.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	38	$278.00	$114.89
81003 Automated urinalysis test	41	35	$8.00	$2.25
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$448.00	$147.70
G0009 Administration of pneumococcal vaccine	18	18	$72.00	$17.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$318.00	$173.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$172.00	$125.21

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	721	378	$207.00	$112.57
99213 Established patient office or other outpatient visit, typically 15 minutes	571	381	$140.00	$77.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	337	337	$329.00	$121.22
G0008 Administration of influenza virus vaccine	121	118	$72.00	$17.39
90662 Influenza vaccine split virus, preservative free	110	108	$93.00	$60.37
93000 Routine ekg using at least 12 leads including interpretation and report	61	57	$61.00	$17.65
81003 Automated urinalysis test	44	42	$8.00	$2.24
G0009 Administration of pneumococcal vaccine	41	41	$72.00	$17.36
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	32	$172.00	$118.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$278.00	$152.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$318.00	$171.33
G0444 Annual depression screening, 5 to 15 minutes	21	21	$54.00	$18.86
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$59.00	$19.39
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$448.00	$174.54

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	822	398	$207.00	$112.26
99213 Established patient office or other outpatient visit, typically 15 minutes	459	294	$140.00	$76.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	320	320	$329.00	$120.92
G0008 Administration of influenza virus vaccine	91	90	$72.00	$17.08
90662 Influenza vaccine split virus, preservative free	82	81	$93.00	$54.76
G0444 Annual depression screening, 5 to 15 minutes	60	60	$54.00	$18.89
81003 Automated urinalysis test	43	37	$8.00	$2.44
G0009 Administration of pneumococcal vaccine	42	42	$72.00	$17.08
93000 Routine ekg using at least 12 leads including interpretation and report	41	39	$61.00	$17.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	30	$278.00	$150.82
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$172.00	$111.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$318.00	$170.28
90670 Pneumococcal vaccine for injection into muscle	19	19	$388.00	$208.39
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$448.00	$172.45
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$49.00	$16.20

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	643	350	$207.00	$110.02
99213 Established patient office or other outpatient visit, typically 15 minutes	309	222	$140.00	$74.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	270	270	$329.00	$119.67
G0008 Administration of influenza virus vaccine	147	145	$72.00	$21.12
90662 Influenza vaccine split virus, preservative free	130	128	$93.00	$52.20
G0009 Administration of pneumococcal vaccine	58	58	$72.00	$21.12
93000 Routine ekg using at least 12 leads including interpretation and report	55	53	$61.00	$17.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	41	41	$172.00	$105.59
81003 Automated urinalysis test	30	27	$8.00	$2.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$278.00	$144.74
G0444 Annual depression screening, 5 to 15 minutes	17	17	$54.00	$18.52
90670 Pneumococcal vaccine for injection into muscle	17	17	$388.00	$198.85
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$59.00	$18.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$208.00	$110.76
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$448.00	$170.18

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	669	321	$207.00	$109.68
99213 Established patient office or other outpatient visit, typically 15 minutes	286	204	$140.00	$74.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	242	242	$329.00	$118.30
G0444 Annual depression screening, 5 to 15 minutes	157	157	$54.00	$18.51
G0008 Administration of influenza virus vaccine	133	132	$72.00	$26.29
90662 Influenza vaccine split virus, preservative free	117	117	$93.00	$47.64
G0009 Administration of pneumococcal vaccine	112	112	$72.00	$26.29
90670 Pneumococcal vaccine for injection into muscle	64	64	$388.00	$184.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	52	52	$172.00	$96.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	36	$278.00	$147.32
93000 Routine ekg using at least 12 leads including interpretation and report	39	37	$61.00	$17.49
81003 Automated urinalysis test	24	18	$8.00	$2.30
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	16	$59.00	$18.65

Medical Specialties & State Licenses

CMS Verified: 2022-09-22

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 216467

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NH 12465

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3084597 (NH)

Hospital & Practice Group Affiliations

Beth Israel Lahey Health Primary Care, Inc

480 Maple St, Danvers, MA 019234065

Phone: 9783048380

Beth Israel Lahey Health Primary Care, Inc

15 Railroad Ave, South Hamilton, MA 019822218

Phone: 9784687381

Secondary Practice Locations

155 Borthwick Ave, Suite 202w

Portsmouth, NH 038017156

Phone: 6034338434

Practice Associates & Co-Workers

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

1 Associated Practitioners

Hannah Lemieux , FNP-C

Nurse Practitioner - Family

NPI 1356041404

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location September 22, 2022

Registered at 480 MAPLE ST STE 204, DANVERS, MA 019234065 (Tel: 9787740989)

📍

Updated Business Mailing Address September 22, 2022

Registered at 41 MALL RD STE 202W, BURLINGTON, MA 018050002 (Tel: 7817448085)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2022

Internal Medicine (License #216467 in MA)

✅

NPI Profile Active February 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2017

Registered at 155 BORTHWICK AVE, SUITE 202W, PORTSMOUTH, NH 038017156 (Tel: 6034338434)

📍

Updated Business Mailing Address February 27, 2017

Registered at 155 BORTHWICK AVE, SUITE 202W, PORTSMOUTH, NH 038017156 (Tel: 6034338434)

👤

Provider Name / Credentials Updated February 27, 2017

Recorded as TIMOTHY LOUGHRAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2017

Internal Medicine (License #12465 in NH)

✅

NPI Profile Active February 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 16, 2015

Registered at 155 BORTHWICK AVE, SUITE 202W, PORTSMOUTH, NH 038017156 (Tel: 6034338434)

📍

Updated Business Mailing Address February 16, 2015

Registered at 155 BORTHWICK AVE, SUITE 202W, PORTSMOUTH, NH 038017156 (Tel: 6034338434)

👤

Provider Name / Credentials Updated February 16, 2015

Recorded as TIMOTHY LOUGHRAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2015

Internal Medicine (License #12465 in NH)

🟢

Initial NPI Registration & Enumeration June 18, 2006

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: 1083659585

Entity Type:

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

Enumeration Date: June 18, 2006

Last Update: September 22, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

41 Mall Rd Ste 202w

Burlington, MA 018050002

Phone: 7817448085

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

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