DR. SERGIO LOAIZA MD
NPI 1306828314
Psychiatry & Neurology - Neurology in Knoxville, TN

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
220 FORT SANDERS WEST BLVD, SUITE 300, KNOXVILLE, TN 37922(865) 693-3499(865) 693-5938 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sergio Loaiza Md NPPES

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

DR. SERGIO LOAIZA MD (NPI 1306828314) is an individual neurology provider in Knoxville, Tennessee, licensed in Tennessee (MD34014) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Fort Sanders Regional Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1306828314
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SERGIO LOAIZACredential: MD
Location Address220 FORT SANDERS WEST BLVD, SUITE 300Knoxville, TN 37922-3398
Mailing Address220 Fort Sanders West Blvd, Suite 300Knoxville, TN 37922-3398 · (865) 693-3499 · Fax (865) 693-5938
Fax(865) 693-5938
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 16, 2005
Last NPPES UpdateSeptember 20, 2012
NPI 1306828314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in TN · MD34014
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
220 FORT SANDERS WEST BLVD, Knoxville, TN 37922

Other Identifiers 3

OtherP00224507Rrm
Medicare UPING18525TN
Medicare PIN3854272

Accepted 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. Sergio Loaiza 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 ID2264496942
PECOS Enrollment IDI20041112000533
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 5

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.

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.
117 services117 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.
88 services63 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
78 services77 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
70 services64 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.
21 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37922 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

Nurse Practitioner (Family)
220 FORT SANDERS WEST BLVD, SUITE 308
KNOXVILLE, TN 37922
Nurse Practitioner (Family)
220 FORT SANDERS WEST BLVD, SUITE 308
KNOXVILLE, TN 37922
Nurse Practitioner (Obstetrics & Gynecology)
220 FORT SANDERS WEST BLVD, SUITE 106
KNOXVILLE, TN 37922
Family Medicine
220 FORT SANDERS WEST BLVD, BLDG 2, SUITE 200
KNOXVILLE, TN 37922
Nurse Practitioner (Family)
220 FORT SANDERS WEST BLVD, SUITE 308
KNOXVILLE, TN 37922
Social Worker (Clinical)
220 FORT SANDERS WEST BLVD, SUITE 306
KNOXVILLE, TN 37922
Dietitian, Registered (Nutrition, Metabolic)
220 FORT SANDERS WEST BLVD, MOB 2, SUITE 205
KNOXVILLE, TN 37922
Social Worker (Clinical)
220 FORT SANDERS WEST BLVD, SUITE 306
KNOXVILLE, TN 37922

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 Sergio Loaiza's NPI number?

The NPI number for Sergio Loaiza is 1306828314. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Sergio Loaiza located?

Sergio Loaiza practices at 220 Fort Sanders West Blvd Suite 300, Knoxville, TN 37922. The listed phone number is (865) 693-3499.

What is Sergio Loaiza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sergio Loaiza enrolled in Medicare?

Yes. Sergio Loaiza 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 Sergio Loaiza accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Sergio Loaiza 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 Sergio Loaiza affiliated with any hospitals?

According to CMS data, Sergio Loaiza is affiliated with Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Sergio Loaiza was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.