HALE LOOFBOURROW MD NPI 1093121881

NPI Information

  • NPI: 1093121881
  • Provider Name: HALE LOOFBOURROW, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2116 E SECTION ST
    MOUNT VERNON, WA
    ZIP 98274
  • Phone: (360) 428-1700

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NPI Details

Hale Loofbourrow, MD is a family medicine in Mount Vernon, WA with 12 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Hale Loofbourrow, MD NPI is 1093121881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2116 E SECTION ST
MOUNT VERNON, WA
ZIP 98274-124
Phone: (360) 428-1700
Fax: (360) 848-4350

The NPI 1093121881 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hemoglobin a1c level (HCPCS:83036)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Automated urinalysis test (HCPCS:81003)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 7/1/2014 and was last updated on 8/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD61608585WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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