Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. PEDRO JUAN LOREDO III MD
NPI 1417175209
Surgery - Surgery of the Hand in Grapevine, TX

Active since April 24, 2007PECOS Enrolled
220 N PARK BLVD STE 100, GRAPEVINE, TX 76051(972) 939-4974(817) 280-9870 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Oct 8, 2024, Jun 11, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Pedro Juan Loredo Iii Md NPPES

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

DR. PEDRO JUAN LOREDO III MD (NPI 1417175209) is an individual surgery of the hand provider in Grapevine, Texas, licensed in Texas (N0228) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and is a graduate of University Of Texas Medical Branch At Galveston (2002).

NPPES Registry Identity

NPI1417175209
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameDR. PEDRO JUAN LOREDO IIICredential: MD
Location Address220 N PARK BLVD STE 100Grapevine, TX 76051-6900
Mailing Address431 E. Highway 114, Suite 380Southlake, TX 76092 · (972) 939-4974 · Fax (817) 280-9870
Fax(817) 280-9870
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2002
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 24, 20265 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1417175209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
Licenses Licensed in TX · N0228 Licensed in KY · 40806
Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 40806 (KY)
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License N0228 (TX)
Also ListedSurgeryTaxonomy 208600000X · License 4301080172 (MI)
220 N PARK BLVD STE 100, Grapevine, TX 76051

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. Pedro Juan Loredo Iii 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 ID4880780451
PECOS Enrollment IDI20090519000424
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.
26 services20 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
25 services19 patients
Limited ultrasound scan of joint or other extremity structure except blood vessels 76882
A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
19 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Southlake

Acute Care Hospitals · Southlake, TX
OwnershipGovernment - State
CMS Certification Number450888
Location1545 E Southlake BlvdSouthlake, TX 76092 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76051 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 3

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

Obstetrics & Gynecology
220 N PARK BLVD STE 100
GRAPEVINE, TX 76051
Surgery (Surgery of the Hand)
220 N PARK BLVD STE 100
GRAPEVINE, TX 76051
Obstetrics & Gynecology
220 N PARK BLVD STE 100
GRAPEVINE, TX 76051

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 Pedro Loredo's NPI number?

The NPI number for Pedro Loredo is 1417175209. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Pedro Loredo located?

Pedro Loredo practices at 220 N Park Blvd Ste 100, Grapevine, TX 76051. The listed phone number is (972) 939-4974.

What is Pedro Loredo's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Pedro Loredo enrolled in Medicare?

Yes. Pedro Loredo 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 Pedro Loredo accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Pedro Loredo 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 Pedro Loredo affiliated with any hospitals?

According to CMS data, Pedro Loredo is affiliated with Baylor Scott & White Medical Center Grapevine and Texas Health Harris Methodist Hospital Southlake.

When was this NPI record last updated?

The NPPES record for Pedro Loredo was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.