James Kenneth Looney, M.D.
NPI 1659303535ActiveIndividual· Family Medicine· Highland Village, TX
Family Medicine (M.D.) in Highland Village, Texas, trained at University of Texas Medical School at San Antonio (class of 1996). Their prescriptions cost Medicare Part D more than their services did: $447,207 for 5,681 claims, against $69,010 paid for services in 2024. Lilly USA, LLC was the largest of 12 companies reporting payments in 2025, $454.07 in all, mostly food and beverage.
Overview
| NPI | 1659303535 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 7, 2006 |
| Last updated in NPPES | Mar 2, 2021 |
| Certified by provider | Mar 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | K4737 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 317 |
|---|---|
| Services billed | 1,262 across 28 procedure codes |
| Paid by Medicare | $69,010 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,681 · 14,147 30-day fills |
|---|---|
| Patients | 556 |
| Total drug cost | $447,207 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Texas Medical School at San Antonio |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Healthtexas Provider NetworkWaxahachie, TX · 2,697 clinicians
Hospital affiliations
- Baylor Scott & White Medical Center GrapevineGrapevine, TX
- Baylor Scott & White Medical Center at IrvingIrving, TX
- Medical City DentonDenton, TX
- Medical City LewisvilleLewisville, TX
- Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX
Other facilities
- Accentcare Home Health of DentonHome health agency · Denton, TX
Industry payments (Open Payments)
- 2025$454.07 · 22 payments from 12 companies
- 2024$1,054 · 63 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $85.04 | 4 |
| Abbvie Inc. | $59.77 | 3 |
| Abbott Laboratories | $51.15 | 2 |
| Novo Nordisk Inc | $42.33 | 2 |
| Astrazeneca Pharmaceuticals LP | $42.05 | 2 |
What the 2025 payments were for
- Food and Beverage$454.07 · 22 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 16 family medicine physicians in Highland Village · All family medicine physicians in Texas