MATTHEW SEAN LOFTUS PA
NPI 1417948852
Physician Assistant in Glens Falls, NY

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
93.92/100
CMS Quality Rating
100 PARK ST, GLENS FALLS HOSPITAL HOSPITALIST PROGRAM, GLENS FALLS, NY 12801(518) 926-5925(518) 926-5917 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2021, Sep 2, 2020 (2 updates tracked since 2020).

About Matthew Sean Loftus Pa NPPES

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

MATTHEW SEAN LOFTUS PA (NPI 1417948852) is an individual physician assistant in Glens Falls, New York, licensed in New York (007722) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1417948852
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW SEAN LOFTUSCredential: PA
Location Address100 PARK ST, GLENS FALLS HOSPITAL HOSPITALIST PROGRAMGlens Falls, NY 12801-4413
Mailing Address100 Park Street, Glens Falls Hospital - CredentialingGlens Falls, NY 12801-4413 · (518) 926-6992 · Fax (518) 926-6983
Fax(518) 926-5917
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 3, 2005
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
NPI 1417948852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 007722
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

100 PARK ST, Glens Falls, NY 12801

Other Identifiers 2

OtherP00007685NY · Rr Medicare
Medicaid02347946NY

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

Matthew Sean Loftus Pa 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 ID2860536646
PECOS Enrollment IDI20100217000277
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 6

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.

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.
306 services141 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.
100 services70 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
95 services92 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
56 services34 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services38 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.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.28
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$5.01 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.

Emergency Medicine
100 PARK ST, GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Psychiatry & Neurology (Psychiatry)
100 PARK ST, GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Psychiatry & Neurology (Psychiatry)
100 PARK ST, GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Psychiatry & Neurology (Psychiatry)
100 PARK ST, GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Hospitalist
100 PARK ST, GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Dentist
100 PARK ST
GLENS FALLS, NY 12801
Pathology (Anatomic Pathology & Clinical Pathology)
100 PARK ST
GLENS FALLS, NY 12801
Pathology (Anatomic Pathology & Clinical Pathology)
100 PARK ST
GLENS FALLS, NY 12801

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 Matthew Loftus's NPI number?

The NPI number for Matthew Loftus is 1417948852. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Matthew Loftus located?

Matthew Loftus practices at 100 Park St Glens Falls Hospital Hospitalist Program, Glens Falls, NY 12801. The listed phone number is (518) 926-5925.

What is Matthew Loftus's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Loftus enrolled in Medicare?

Yes. Matthew Loftus 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.

Is Matthew Loftus affiliated with any hospitals?

According to CMS data, Matthew Loftus is affiliated with Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Loftus was last updated on June 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.