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

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: August 16, 2026.

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 is a graduate of Medical University Of South Carolina College Of Medicine (1997).

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
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

Other Identifiers 8

Other289424Anthem/bcbs
Other214911Southern Health
Other0561910Cigna
Other66801VA · Optima
Medicaid010006121VA
Other1000870001VA · Dme Provider
Other2004878-000WV · Wv Medicaid
OtherP00009123Railroad Medicare

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

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.

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

Carteret General Hospital

Acute Care Hospitals · Morehead City, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340142
Location3500 Arendell StMorehead City, NC 28557 · Carteret County
Emergency services Birthing friendly

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.

Hospitalist
3500 ARENDELL ST
MOREHEAD CITY, NC 28557
Anesthesiology
3500 ARENDELL ST
MOREHEAD CITY, NC 28557
Counselor
3500 ARENDELL ST
MOREHEAD CITY, NC 28557
Emergency Medicine
3500 ARENDELL ST
MOREHEAD CITY, NC 28557
Registered Nurse
3500 ARENDELL ST
MOREHEAD CITY, NC 28557
Physician Assistant
3500 ARENDELL ST
MOREHEAD CITY, NC 28557
Physician Assistant (Medical)
3500 ARENDELL ST
MOREHEAD CITY, NC 28557
Emergency Medicine
3500 ARENDELL ST, CARTERET GENERAL HOSPITAL
MOREHEAD CITY, NC 28557

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 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.

Where is James Loynes located?

James Loynes practices at 3500 Arendell St, Morehead City, NC 28557. The listed phone number is (252) 808-6177.

What is James Loynes's specialty?

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

Is James Loynes enrolled in Medicare?

Yes. James Loynes 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 James Loynes accept?

Health plans from Oscar Insurance Corporation of Ohio list James Loynes 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 James Loynes affiliated with any hospitals?

According to CMS data, James Loynes is affiliated with Novant Health New Hanover Regional Medical Center, Carteret General Hospital, Akron General Medical Center and Mercy Medical Center.

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 5 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.