DR. HOLLY F. LOFTON M.D.
NPI 1104010511
Preventive Medicine - Obesity Medicine in New York, NY

Active since August 29, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
530 1ST AVE STE 10S, NEW YORK, NY 10016(212) 263-3166(212) 263-2139 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2026, Feb 19, 2021 (2 updates tracked since 2021).

About Dr. Holly F. Lofton M.d. NPPES

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

DR. HOLLY F. LOFTON M.D. (NPI 1104010511) is an individual obesity medicine provider in New York, New York, licensed in New York (256782) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1104010511
Entity TypeIndividualFemale
Primary Taxonomy2083B0002X
Provider Legal NameDR. HOLLY F. LOFTONCredential: M.D.
Location Address530 1ST AVE STE 10SNew York, NY 10016-6402
Mailing Address530 1st Ave Ste 10sNew York, NY 10016-6402 · (212) 263-3166 · Fax (212) 263-2139
Fax(212) 263-2139
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2004
Enumeration DateAugust 29, 2007
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1104010511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPreventive Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083B0002X
License Licensed in NY · 256782
Definition

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Also ListedInternal MedicineTaxonomy 207R00000X · License 256782 (NY)
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License MD432625 (PA)
530 1ST AVE STE 10S, New York, NY 10016

Secondary Practice Location 1

Location 1100 N Academy AveDanville, PA 17822-2111 · Phone (570) 271-6439 · Fax (570) 271-6852

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. Holly F. Lofton 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 ID6002981123
PECOS Enrollment IDI20120327000495
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 3

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.
302 services165 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.
167 services103 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.
67 services67 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
530 1ST AVE STE 10S
NEW YORK, NY 10016

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 Holly Lofton's NPI number?

The NPI number for Holly Lofton is 1104010511. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Holly Lofton located?

Holly Lofton practices at 530 1st Ave Ste 10S, New York, NY 10016. The listed phone number is (212) 263-3166.

What is Holly Lofton's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Obesity Medicine, with taxonomy code 2083B0002X.

Is Holly Lofton enrolled in Medicare?

Yes. Holly Lofton 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.

Is Holly Lofton affiliated with any hospitals?

According to CMS data, Holly Lofton is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Holly Lofton was last updated on May 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.