Doctor profile · Federal record
Dr. Paul Loethen, MD
Surgery Physician (CMS: General Surgery) · Surgery Physician · Shiloh, IL
- NPI 1053595538
- Accepts Medicare
- MIPS 17.5 / 100 · 2023
- 22 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1414 Cross Street, Suite 330
Shiloh, IL 622692998
(618) 277-7400
fax (618) 277-7422
Credentials & registration
- NPI registered
- December 2007 — 19 yrs on file
- Profile last updated
- March 20, 2024
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (2)
- Illinois #036122761 · Illinois #125048399
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053595538. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
443
Distinct HCPCS
8
Medicare allowed
$48,007
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 143 | 68 | $51 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 86 | 85 | $85 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 72 | 63 | $87 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 48 | 45 | $53 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $166 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 24 | 24 | $126 | |
47563 |
Removal of gallbladder with x-ray study of bile ducts using an endoscope | 18 | 18 | $770 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $112 |
In context: peer comparison
Among 5 peers in Shiloh Surgery Physician, average services per provider: 55. This provider delivers 8.1× the peer median.Open Payments
Industry payments received
All-time total
$642
Transactions
7
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Intuitive Surgical, INC. | 4 | $572.73 | |
| W. L. Gore & Associates, INC. | 1 | $26.84 | |
| Baxter Healthcare | 1 | $23.66 | |
| Myriad Genetic Laboratories, INC. | 1 | $18.97 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
97
Patients
91
Total drug cost
$828
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 68 | 64 | $396 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 16 | 14 | $148 |
| Doxycycline Hyclate | Generic | 13 | 13 | $283 |
Frequently asked questions
What is Dr. Paul Loethen's medical specialty?
Dr. Paul Loethen practices Surgery Physician in Shiloh, IL.
Where does Dr. Paul Loethen practice?
Dr. Paul Loethen practices at 1414 Cross Street, Shiloh, IL 622692998. Office phone: 6182777400.
What is Dr. Paul Loethen's NPI?
Dr. Paul Loethen's National Provider Identifier (NPI) is 1053595538, issued by NPPES.
Does Dr. Paul Loethen accept Medicare assignment?
Yes. Dr. Paul Loethen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Paul Loethen commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231); Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.