Timothy J Loerke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1785 Issued in KY

Practice address

13151 Magisterial Dr Ste 200
Louisville, KY 40223-4103

Phone

(502) 587-1236

Fax

(502) 587-0126

NPI assigned

Aug 23, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

University of North Texas HSC, College of Osteopathic Med, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kentucky Post-Acute Medical Services 1 PSCGroup PAC ID 9234471426, 25 clinicians

Illinois Post-Acute Medical Services 1 PCGroup PAC ID 6305112103, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.54 of 100Reported as individual

Quality

75

Improvement activities

40

Cost

77.64

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kentucky Post-Acute Medical Services 1 PSC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Flemingsburg, KY
  • NPI 1831628783
  Medicare reassignment Care Compare group
• Illinois Post-Acute Medical Services 1 PC

  • Hospitalist Physician
  • Hinsdale, IL
  • NPI 1952830853

  IN

  Medicare reassignment Care Compare group
• Hagan Health LLC

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1891349833
  Medicare reassignment
• Louisville Emergency Medicine Associates PSC

  • Emergency Medicine Physician
  • Louisville, KY
  • NPI 1487604641
  Medicare reassignment
• CS Pacs 3 Midwest LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1972368785

  IN

  Medicare reassignment
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  KY

  Medicare reassignment
• Baptist Health Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1073890695

  Physician Assistant

  NPD (past)
• Terry M. Hagan MD

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1396260527
  NPD (past)
• Las Colinas Orthopedic Surgery and Sports Medicine P.a.

  • Specialist
  • Irving, TX
  • NPI 1952396996
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1174803050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MISSOURI AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303061",
            "telephone_number": "865-293-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 MAGISTERIAL DR STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234103",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4123 Dutchmans Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074718",
            "country_code": "US",
            "telephone_number": "502-559-1777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5120 Dixie Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402161775",
            "country_code": "US",
            "telephone_number": "502-587-1236",
            "fax_number": "502-449-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOERKE",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1785",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002494A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "PA07315",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY STATE LICENSE",
            "identifier": "PA1785",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1098783",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288231801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Locy and Associates LLC
• Thomas Marion Loeb, M.D.
• Tammy June Loebker, APRN
• Lawrence D. Loehle, M.D.
• Karmen Drew Loehr, DO
• Kaitlyn Joan Loesel, DPM
• Colby Rachel Loew, MD
• Melissa Lofton-Berry
• Brenda Logan
• Kenneth Leon Logan III

• Physician Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.