JERALD T LOY PA
NPI 1104851021
Physician Assistant - Medical in Albuquerque, NM

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
13701 ENCANTADO RD NE, ALBUQUERQUE, NM 87123(505) 237-8700 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerald T Loy Pa NPPES

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

JERALD T LOY PA (NPI 1104851021) is an individual medical provider in Albuquerque, New Mexico, licensed in New Mexico (PA2004-0005) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lovelace Women's Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1104851021
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJERALD T LOYCredential: PA
Location Address13701 ENCANTADO RD NEAlbuquerque, NM 87123-2275
Mailing AddressPo Box 26028Albuquerque, NM 87125-6028
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 11, 2006
Last NPPES UpdateApril 26, 2024
NPPES CertifiedApril 26, 2024
NPI 1104851021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NM · PA2004-0005
13701 ENCANTADO RD NE, Albuquerque, NM 87123

Other Identifiers 1

Medicaid18556019NM

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

Jerald T Loy Pa 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 ID749183382
PECOS Enrollment IDI20040130000185
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 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.

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.
474 services229 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 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.
27 services25 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims31 services$6.18 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
2 suppliers15 claims15 services$13.93 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
4 suppliers29 claims29 services$69.85 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$185.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Pharmacist
13701 ENCANTADO RD NE, ATTN: PHARMACY
ALBUQUERQUE, NM 87123
Family Medicine
13701 ENCANTADO RD NE
ALBUQUERQUE, NM 87123
Health Maintenance Organization
13701 ENCANTADO RD NE
ALBUQUERQUE, NM 87123
Nurse Practitioner (Family)
13701 ENCANTADO RD NE
ALBUQUERQUE, NM 87123
Nurse Practitioner (Family)
13701 ENCANTADO RD NE
ALBUQUERQUE, NM 87123
Internal Medicine
13701 ENCANTADO RD NE
ALBUQUERQUE, NM 87123
Pharmacy (Community/Retail Pharmacy)
13701 ENCANTADO RD NE
ALBUQUERQUE, NM 87123
Family Medicine
13701 ENCANTADO RD NE
ALBUQUERQUE, NM 87123

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 Jerald Loy's NPI number?

The NPI number for Jerald Loy is 1104851021. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Jerald Loy located?

Jerald Loy practices at 13701 Encantado Rd NE, Albuquerque, NM 87123. The listed phone number is (505) 237-8700.

What is Jerald Loy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jerald Loy enrolled in Medicare?

Yes. Jerald Loy 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 Jerald Loy affiliated with any hospitals?

According to CMS data, Jerald Loy is affiliated with Lovelace Women's Hospital.

When was this NPI record last updated?

The NPPES record for Jerald Loy was last updated on April 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.