NPIMap

Individual provider Active NPI

Troy Loethen

  • Internal Medicine Physician
  • Columbia, MO
National Provider Identifier
1457731234
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2015017278 Issued in MO
Practice address
101 S Fairview Rd
Columbia, MO 65203-7637
Phone
(573) 882-4464
Fax
(573) 884-8142
NPI assigned
Jun 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2015017278 MO Primary

Addresses

Primary practice location

101 S Fairview Rd
Columbia, MO 65203-7637

Mailing address

1 Hospital Dr
Dc043.00
Columbia, MO 65212-1000
Phone (573) 884-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830000248 MO Practitioner - Interventional Cardiology 2668784000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Missouri, Columbia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians
The Curators of the University of MissouriGroup PAC ID 4486759560, 1,108 clinicians

Practice addresses (Care Compare)

2505 Mission Dr
Suite 310
Jefferson City, MO 65109-9508
Phone (573) 681-3751

3501 A W Truman Blvd
Jefferson City, MO 65109-5715
Phone (573) 659-2001

Hospital & facility affiliations

  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141
  • SSM Health St. Mary'S Hospital - Jefferson City Hospital, Jefferson City, MO, CCN 260011
  • Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

Merit-based Incentive Payment System (MIPS)

Final score
22.73 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
75.78

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
86.39
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Regional Health Services CurrentSince Aug 1, 2021 Accepting new patients
Curators of the University of Missouri CurrentSince Jan 1, 2024 Accepting new patients
The Curators of the University of Missouri CurrentSince Jan 1, 2024 Accepting new patients
SSM Regional Health Services CurrentSince Aug 1, 2021 Accepting new patients
Capital Region Medical Center Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Curators of the University of Missouri PastSince Oct 1, 2023 Accepting new patients

Locations

7655 Solutions Ctr
Chicago, IL 60677

1 Hospital Dr
#4300
Columbia, MO 65212
Phone (573) 884-1606

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

101 S Fairview Rd
Columbia, MO 65203
Phone (573) 882-1095

3501A W Truman Blvd
Jefferson Cty, MO 65109
Phone (573) 636-0635

100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

901 Kidwell Dr
Versailles, MO 65084
Phone (573) 378-4666

Interoperability endpoints

  • Direct secure messaging: tloethen98797@direct-ehr-ssmhc.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1457731234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "DC043.00",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-884-1606",
            "fax_number": "573-884-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S FAIRVIEW RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037637",
            "telephone_number": "573-882-4464",
            "fax_number": "573-884-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOETHEN",
        "first_name": "TROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2015017278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.