DR. JAMES HOYT M.D.
NPI 1093785925
Internal Medicine - Pulmonary Disease in Fort Collins, CO

Q: What is James Hoyt's NPI number?

The NPI number for James Hoyt is 1093785925. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Q: What is James Hoyt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for James Hoyt was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

2121 E HARMONY RD, STE 300, FORT COLLINS, CO 80528(970) 224-9102(970) 224-9112 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. James Hoyt M.d. NPPES

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

DR. JAMES HOYT M.D. (NPI 1093785925) is an individual pulmonary disease provider in Fort Collins, Colorado, licensed in Colorado (DR.0034372) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ivinson Memorial Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1989).

NPPES Registry Identity

NPI1093785925

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. JAMES HOYTCredential: M.D.

Location Address2121 E HARMONY RD, STE 300Fort Collins, CO 80528-3400

Mailing Address2121 E Harmony Rd, Suite 300Fort Collins, CO 80528-3400 · (970) 224-9102 · Fax (970) 224-9112

Phone(970) 224-9102

Fax(970) 224-9112

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1989

Enumeration DateJanuary 24, 2006

Last NPPES UpdateAugust 16, 2016

✔ NPI 1093785925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in CO · DR.0034372

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0034372 (CO)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License DR.0034372 (CO)

2121 E HARMONY RD, Fort Collins, CO 80528

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Other Identifiers 9

Medicaid111942700WY

Medicaid01343722CO

Medicare UPINF76737CO

Medicare PINW26384WY

Medicaid5428041CA

Medicare PINC61248CO

Other290007466CO · Railroad Medicare

OtherP01181178CO · Medicare Rr

Medicare PIN268007YLB8CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Hoyt M.d. 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 ID5890755219

PECOS Enrollment IDI20071106000240, I20140923001520

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.

Areas of Expertise CMS Part B claims 15

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

197 services125 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

139 services116 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

70 services38 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.

69 services46 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

58 services57 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

57 services57 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.

49 services49 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

48 services48 patients

Test to examine how well the lungs exchange gases 94729

40 services38 patients

Test to determine lung volumes using sensors 94726

39 services37 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

38 services36 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

37 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

30 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

28 services28 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ivinson Memorial Hospital

Acute Care Hospitals · Laramie, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number530025

Location255 N 30thLaramie, WY 82072 · Albany County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80528 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

7 suppliers27 claims27 services$38.55 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

10 suppliers31 claims31 services$95.22 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

9 suppliers32 claims83 services$33.88 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers19 claims19 services$56.77 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

12 suppliers27 claims27 services$18.88 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

8 suppliers22 claims22 services$17.51 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

12 suppliers41 claims233 services$2.38 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

12 suppliers23 claims23 services$12.32 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers90 claims91 services$16.46 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers39 claims40 services$4.89 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

6 suppliers55 claims55 services$37.11 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

10 suppliers181 claims182 services$87.88 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers26 claims26 services$31.25 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers19 claims1,266 services$6.46 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

5 suppliers16 claims2,727 services$0.03 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers12 claims690 services$0.83 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier22 claims22 services$32.18 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

7 suppliers34 claims34 services$24.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

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

DR. MASON SIDNEY SHAMIS MD

Family Medicine

2121 E HARMONY RD, SUITE 370
FORT COLLINS, CO 80528

Larimer County (970) 221-2290

BETHANY BOLLING AUD.,CCC-A

Audiologist

2121 E HARMONY RD
FORT COLLINS, CO 80528

Larimer County (970) 484-6373

LUCY HOLT MS, LCGC

Genetic Counselor, MS

2121 E HARMONY RD
FORT COLLINS, CO 80528

Larimer County (970) 493-6337

DR. STEPHEN A TREAT M.D.

Internal Medicine (Cardiovascular Disease)

2121 E HARMONY RD, STE 100
FORT COLLINS, CO 80528

Larimer County (970) 221-1000

MR. MICHAEL D JACOBSON PA-C

Physician Assistant (Medical)

2121 E HARMONY RD, SUITE 300
FORT COLLINS, CO 80528

Larimer County (970) 224-9102

DR. DIANA M BREYER M.D.

Internal Medicine (Pulmonary Disease)

2121 E HARMONY RD, SUITE 300
FORT COLLINS, CO 80528

Larimer County (970) 224-9102

LAURA LYNN MADIGAN P.A.

Physician Assistant

2121 E HARMONY RD, SUITE 310
FORT COLLINS, CO 80528

Larimer County (970) 221-3855

DR. JOHN A COLLINS M.D.

Surgery

2121 E HARMONY RD, STE 330
FORT COLLINS, CO 80528

Larimer County (970) 221-5878

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 James Hoyt's NPI number?

The NPI number for James Hoyt is 1093785925. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is James Hoyt located?

James Hoyt practices at 2121 E Harmony Rd Ste 300, Fort Collins, CO 80528. The listed phone number is (970) 224-9102.

What is James Hoyt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is James Hoyt enrolled in Medicare?

Yes. James Hoyt 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.

What insurance does James Hoyt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross Blue Shield of Wyoming and 3 other insurers list James Hoyt 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 James Hoyt affiliated with any hospitals?

According to CMS data, James Hoyt is affiliated with Ivinson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Hoyt was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.