NPPES file of Aug 9, 2026

Paul E. Loethen, MD

Surgery Physician · Shiloh, IL

Paul E. Loethen, MD is a surgery physician with a practice address in Shiloh, Illinois, and NPI 1053595538, issued on Dec 20, 2007. Check the license (Illinois 036122761, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053595538
Name
Paul E. Loethen
Credential
MD
Primary taxonomy
Surgery Physician 208600000X
License numbers
036122761 IL
125048399 IL
Self-reported in NPPES; status is on the state search
Practice location
1414 Cross Street, Shiloh, IL 62269
Phone
(618) 277-7400
Enumerated
Dec 20, 2007
Record last updated
Mar 20, 2024
Fax
(618) 277-7422
Medicare enrollment
Enrolled (PECOS I20090826000177); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1414 Cross Street

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Douglas Aach, MDSurgery Physician1508817040
  2. Kevin Barnett, MDSurgery Physician1932166030
  3. Michael Bergom, MDSurgery Physician1801814108
  4. James Clanahan, MDSurgery Physician1770531956
  5. Thomas Luong, MDSurgery Physician1376713826
  6. Scott Schwiesow, MDSurgery Physician1164834024

Verify Paul E. Loethen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036122761
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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9% more Medicare Part D claims than the average surgery physician in 2024

160 Medicare Part D claims for 97 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. 73 claims were for opioids.

  1. Paul Loethen160
  2. Specialty average147

Most prescribed

  1. Oxycodone-Acetaminophen35 claims
  2. Hydrocodone-Acetaminophen26 claims
  3. Lidocaine-Prilocaine18 claims
  4. Ondansetron Odt13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 17.5 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score0.0
  2. Costout of 100 · 30%58.3
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $642.20

7 payments; by number, the most common kind was food and beverage; the largest payer was Intuitive Surgical, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Paul Loethen$642.20
  2. Specialty average$3,513.80

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Hshs Medical Group IncHighland, IL
  2. Lincoln Surgical Associates, Ltd.Shiloh, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Paul E. Loethen among 1,520 surgery physician records in Illinois

Paul E. Loethen, MD is one of 1,520 surgery physician records with a practice address in Illinois. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 36% of them.

  • NPI issued2007 · 36% of these records are older, 58% newer
  • In a Medicare fileYes · 66% of these records are
  • In the CMS Doctors and Clinicians fileYes · 43% of these records are
  • Graduated2004 · median 2004 among the 650 with a school on file
  • Record last updated2024 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

11 surgery physician records list a practice address in Shiloh

They are 11 of the 181 NPPES records with a practice address in Shiloh, and 1,520 surgery physician records in Illinois.

The 8 surgery physician records with the nearest ZIP codes

  1. Douglas Aach, MDShiloh, IL 622691508817040
  2. Kevin Barnett, MDShiloh, IL 622691932166030
  3. Michael Bergom, MDShiloh, IL 622691801814108
  4. James Clanahan, MDShiloh, IL 622691770531956
  5. Donald Crouch, M.D.Shiloh, IL 622691619925880
  6. Lyman Hale, M.D., M.S.Shiloh, IL 622691619298940
  7. Thomas Luong, MDShiloh, IL 622691376713826
  8. Michael Pulsipher, DOShiloh, IL 622691366061731

Common questions

What is Paul E. Loethen, MD's NPI number?

Paul E. Loethen, MD's National Provider Identifier (NPI) is 1053595538, issued on Dec 20, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Paul E. Loethen, MD located?

The NPPES record lists a practice address at 1414 Cross Street, Shiloh, IL, 62269. Phone: (618) 277-7400. Providers update this record themselves, so call before visiting.

How can I verify Paul E. Loethen, MD's license?

NPPES lists Illinois license number 036122761, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Paul E. Loethen, MD prescribe under Medicare Part D?

In 2024, Paul E. Loethen, MD had 160 Medicare Part D claims for 97 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.

What is Paul E. Loethen, MD's MIPS final score?

The 2023 MIPS final score is 17.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.