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LOAN MAI D.O.
NPI 1053851303
Surgery in Hudson, FL

Active since March 06, 2017PECOS EnrolledAccepts Medicare Assignment
81.63/100
CMS Quality Rating
7541 MEDICAL DR, HUDSON, FL 34667(727) 819-9107(727) 819-9138 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Loan Mai D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOAN MAI D.O. (NPI 1053851303) is an individual surgery provider in Hudson, Florida, licensed in Florida (OS19854) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Trinity Hospital, and is a graduate of Philadelphia Col Of Osteo Med, Sewanee (2018).

NPPES Registry Identity

NPI1053851303
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameLOAN MAICredential: D.O.
Location Address7541 MEDICAL DRHudson, FL 34667-6502
Mailing Address7541 Medical DrHudson, FL 34667-6502 · (727) 819-9107 · Fax (727) 819-9138
Phone(727) 819-9107
Fax(727) 819-9138
Sole ProprietorNo
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2018
Enumeration DateMarch 6, 2017
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1053851303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · OS19854
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7541 MEDICAL DR, Hudson, FL 34667
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Loan Mai D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880965839
PECOS Enrollment IDI20230803004454
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Loan Mai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Hospital Family Practice LLC
22 mi
Geriatric Medicine
44 VETERANS AVE
Brooksville, FL 34601
  • Reassigned Medicare billing, Florida enrollment
  • 59 clinicians in this Medicare group
NPI 1902094857 (352) 797-3500
West Florida Physician Network, LLC
60 mi
Internal Medicine
315 75TH ST W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 56 clinicians in this Medicare group
NPI 1376779496 (941) 761-1998
Clinical Health Care Associates Of New Jersey PC
908 mi
Ophthalmology
975 ROUTE 73 N STE B
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 793 clinicians in this Medicare group
NPI 1417644477 (267) 546-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
100 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
91 services82 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Trinity Hospital

Acute Care Hospitals · Trinity, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100191
Location9330 Sr 54Trinity, FL 34655 · Pasco County
Emergency services Birthing friendly

Hca Florida Bayonet Point Hospital

Acute Care Hospitals · Hudson, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100256
Location14000 Fivay RdHudson, FL 34667 · Pasco County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34667 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.96
Promoting Interoperability90
Improvement Activities40
Cost54.47

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH JEAN CACERES ACNPC-AG APRN
Nurse Practitioner (Acute Care)
7541 MEDICAL DR
HUDSON, FL 34667
Pasco County (727) 819-9107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loan Mai's NPI number?

The NPI number for Loan Mai is 1053851303. It was assigned to this individual provider in the NPPES registry on March 6, 2017.

Where is Loan Mai located?

Loan Mai practices at 7541 Medical Dr, Hudson, FL 34667. The listed phone number is (727) 819-9107.

What is Loan Mai's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Loan Mai enrolled in Medicare?

Yes. Loan Mai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Loan Mai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loan Mai reassigns Medicare benefits to 3 organizations: Community Hospital Family Practice LLC (Brooksville, FL), West Florida Physician Network, LLC (Bradenton, FL) and Clinical Health Care Associates Of New Jersey PC (Marlton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Loan Mai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Loan Mai accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Loan Mai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Loan Mai affiliated with any hospitals?

According to CMS data, Loan Mai is affiliated with Hca Florida Trinity Hospital and Hca Florida Bayonet Point Hospital.

When was this NPI record last updated?

The NPPES record for Loan Mai was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.