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JAMES F LOOMIS JR. MD
NPI 1528153160
Internal Medicine in Washington, DC

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
5100 WISCONSIN AVE NW, STE 401, WASHINGTON, DC 20016(202) 527-7500 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James F Loomis Jr. Md NPPES

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

JAMES F LOOMIS JR. MD (NPI 1528153160) is an individual internal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD043764) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1985).

NPPES Registry Identity

NPI1528153160
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES F LOOMIS JR.Credential: MD
Location Address5100 WISCONSIN AVE NW, STE 401Washington, DC 20016-4119
Mailing Address5100 Wisconsin Ave Nw, Ste 401Washington, DC 20016-4119 · (202) 527-7500
Phone(202) 527-7500
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1985
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 31, 2016
✔ NPI 1528153160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in DC · MD043764✔ Licensed in MO · R8G21
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5100 WISCONSIN AVE NW, Washington, DC 20016
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Other Identifiers 4

Medicare PINMA2226001MO
Medicaid202463857MO
Medicare UPINA13751MO
Medicare ID-Type Unspecified001013534MO · Medicare Mo

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 F Loomis Jr. 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 ID7618036039
PECOS Enrollment IDI20160503000044
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.

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.
85 services68 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
62 services62 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
57 services57 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
54 services54 patients
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.
49 services37 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
12%74 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
29%228 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
5%59 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%525 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
26%258 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%236 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
29%439 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
68%427 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
24%323 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%439 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
83%439 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
86%439 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims24 services$199.77 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.

MRS. KAREN L SMITH RD
Dietitian, Registered
5100 WISCONSIN AVE NW, SUITE 401
WASHINGTON, DC 20016
District of Columbia (202) 527-7500
DR. EMILY M BAUMAN PH.D.
Psychologist
5100 WISCONSIN AVE NW, SUITE 300
WASHINGTON, DC 20016
District of Columbia (240) 461-8149
SHERI NAWABI, D.D.S., PLLC
Dentist (General Practice)
5100 WISCONSIN AVE NW, SUITE 240
WASHINGTON, DC 20016
District of Columbia (202) 686-2318
EMILY M. BAUMAN, PH.D. PLLC
Psychologist
5100 WISCONSIN AVE NW, SUITE 300
WASHINGTON, DC 20016
District of Columbia (202) 686-1155
MR. JAY M. MUTCHNIK P.T.
Physical Therapist
5100 WISCONSIN AVE NW, SUITE 522
WASHINGTON, DC 20016
District of Columbia (202) 966-0900
DR. RALPH THOMAS MAZZUCA DDS
Dentist
5100 WISCONSIN AVE NW, SUITE 406
WASHINGTON, DC 20016
District of Columbia (202) 537-1088
EROSALIND H KAYE MSW
Social Worker (Clinical)
5100 WISCONSIN AVE NW, SUITE 300
WASHINGTON, DC 20016
District of Columbia (202) 244-1270
MR. DANIEL M KAVANAUGH MSW, LCSW-C
Social Worker (Clinical)
5100 WISCONSIN AVE NW, SUITE 300
WASHINGTON, DC 20016
District of Columbia (202) 244-8855

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 Loomis's NPI number?

The NPI number for James Loomis is 1528153160. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is James Loomis located?

James Loomis practices at 5100 Wisconsin Ave NW Ste 401, Washington, DC 20016. The listed phone number is (202) 527-7500.

What is James Loomis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Loomis enrolled in Medicare?

Yes. James Loomis 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.

When was this NPI record last updated?

The NPPES record for James Loomis was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.