JAMES THOMAS LOYNES MD
NPI 1386691855
Internal Medicine - Hematology & Oncology in Morehead City, NC

Q: What is James Loynes's NPI number?

The NPI number for James Loynes is 1386691855. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Q: What is James Loynes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for James Loynes was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 May 28, 2006PECOS EnrolledAccepts Medicare Assignment

3500 ARENDELL ST, MOREHEAD CITY, NC 28557(252) 808-6177(252) 808-6637 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About James Thomas Loynes Md NPPES

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

JAMES THOMAS LOYNES MD (NPI 1386691855) is an individual hematology & oncology provider in Morehead City, North Carolina, licensed in Virginia (0101234459) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1386691855

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameJAMES THOMAS LOYNESCredential: MD

Location Address3500 ARENDELL STMorehead City, NC 28557-2901

Mailing Address3500 Arendell StMorehead City, NC 28557-2901 · (252) 808-6177 · Fax (252) 808-6637

Phone(252) 808-6177

Fax(252) 808-6637

Sole ProprietorYes

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1997

Enumeration DateMay 28, 2006

Last NPPES UpdateFebruary 25, 2026

NPPES CertifiedFebruary 25, 2026

✔ NPI 1386691855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in VA · 0101234459✔ Licensed in NC · 2008-01239

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

3500 ARENDELL ST, Morehead City, NC 28557

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Secondary Practice Locations 3

Location 12131 S 17th StWilmington, NC 28401-7407 · Phone (910) 667-3000 · Fax (910) 667-9758

Location 21333 S Dickinson Dr Unit 200Leland, NC 28451-6434 · Phone (910) 667-3000 · Fax (910) 667-9758

Location 3109 Scotts Hill Medical Dr, Ste 102Wilmington, NC 28411 · Phone (910) 662-1730 · Fax (910) 662-1739

Other Identifiers 8

Other289424Anthem/bcbs

Other214911Southern Health

Other0561910Cigna

Other66801VA · Optima

Medicaid010006121VA

Other1000870001VA · Dme Provider

Other2004878-000WV · Wv Medicaid

OtherP00009123Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Thomas Loynes 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 ID749214468

PECOS Enrollment IDI20090413000417

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.

Medicare Billing Reassignments

Medicare enrollment records show James Loynes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carteret County General Hospital Corporation

Same address

General Acute Care Hospital

3500 ARENDELL ST
Morehead City, NC 28557

Reassigned Medicare billing, North Carolina enrollment
283 clinicians in this Medicare group

NPI 1760479331 (252) 808-6000

Novant Health Medical Group Coastal Region, LLC

38 mi

Family Medicine

2000 BRABHAM AVE
Jacksonville, NC 28546

Reassigned Medicare billing, North Carolina enrollment
710 clinicians in this Medicare group

NPI 1629738505 (910) 376-3025

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

667 services342 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.

174 services108 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.

93 services82 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

36 services36 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.

22 services16 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.

21 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

Pender Memorial Hospital

Critical Access Hospitals · Burgaw, NC

OwnershipGovernment - Local

CMS Certification Number341307

Location507 E Fremont StBurgaw, NC 28425 · Pender County

Emergency services

Akron General Medical Center

Acute Care Hospitals · Akron, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360027

Location1 Akron General AvenueAkron, OH 44307 · Summit County

Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Canton, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360070

Location1320 Mercy Drive NWCanton, OH 44708 · Stark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28557 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

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

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$16.45 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

2 suppliers24 claims24 services$101.18 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$38.23 avg. paid by Medicare

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers15 claims752 services$0.70 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 20

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

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