DAVID M LOYA MD
NPI 1194794388
Orthopaedic Surgery in West Orange, NJ

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
1500 PLEASANT VALLEY WAY, SUITE 101, WEST ORANGE, NJ 07052(973) 669-5600(973) 669-0269 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David M Loya Md NPPES

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

DAVID M LOYA MD (NPI 1194794388) is an individual orthopaedic surgery provider in West Orange, New Jersey, licensed in New Jersey (25MA07107900) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1989).

NPPES Registry Identity

NPI1194794388
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID M LOYACredential: MD
Location Address1500 PLEASANT VALLEY WAY, SUITE 101West Orange, NJ 07052-2956
Mailing Address1500 Pleasant Valley Way, Suite 101West Orange, NJ 07052-2956 · (973) 669-5600 · Fax (973) 669-0269
Fax(973) 669-0269
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1989
Enumeration DateMarch 17, 2006
Last NPPES UpdateFebruary 26, 2014
NPI 1194794388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NJ · 25MA07107900
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1500 PLEASANT VALLEY WAY, West Orange, NJ 07052

Other Identifiers 2

Medicare PIN039882BMZNJ
Medicare UPINF90210

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

David M Loya Md 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 ID4880729730
PECOS Enrollment IDI20100719000012
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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
324 services57 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.
300 services176 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
135 services74 patients
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.
70 services57 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.
61 services61 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
53 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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.

Internal Medicine (Nephrology)
1500 PLEASANT VALLEY WAY, SUITE 203
WEST ORANGE, NJ 07052
Surgery (Vascular Surgery)
1500 PLEASANT VALLEY WAY, SUITE 302
WEST ORANGE, NJ 07052
Internal Medicine (Infectious Disease)
1500 PLEASANT VALLEY WAY, SUITE 201
WEST ORANGE, NJ 07052
Internal Medicine (Infectious Disease)
1500 PLEASANT VALLEY WAY, STE 201
WEST ORANGE, NJ 07052
Urology
1500 PLEASANT VALLEY WAY, SUITE 201
WEST ORANGE, NJ 07052
Internal Medicine
1500 PLEASANT VALLEY WAY, SUITE 205
WEST ORANGE, NJ 07052
Internal Medicine (Cardiovascular Disease)
1500 PLEASANT VALLEY WAY, SUITE 207
WEST ORANGE, NJ 07052
Audiologist
1500 PLEASANT VALLEY WAY, SUITE 206
WEST ORANGE, NJ 07052

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 David Loya's NPI number?

The NPI number for David Loya is 1194794388. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is David Loya located?

David Loya practices at 1500 Pleasant Valley Way Suite 101, West Orange, NJ 07052. The listed phone number is (973) 669-5600.

What is David Loya's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Loya enrolled in Medicare?

Yes. David Loya 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.

When was this NPI record last updated?

The NPPES record for David Loya was last updated on February 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.