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JAMES SPENCER HOYT M.D.
NPI 1568429231
Plastic Surgery in Modesto, CA

Active since April 27, 2006PECOS Enrolled
1541 FLORIDA AVE, SUITE 304, MODESTO, CA 95350(209) 577-3388(209) 521-3262 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Spencer Hoyt M.d. NPPES

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

JAMES SPENCER HOYT M.D. (NPI 1568429231) is an individual plastic surgery provider in Modesto, California, licensed in California (G61493) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568429231
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameJAMES SPENCER HOYTCredential: M.D.
Location Address1541 FLORIDA AVE, SUITE 304Modesto, CA 95350-4429
Mailing Address1541 Florida Ave, Suite 304Modesto, CA 95350-4429 · (209) 577-3388 · Fax (209) 521-3262
Phone(209) 577-3388
Fax(209) 521-3262
Sole ProprietorYes
Enumeration DateApril 27, 2006
Last NPPES UpdateNovember 22, 2016
✔ NPI 1568429231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in CA · G61493✔ Licensed in WA · 00034318
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1541 FLORIDA AVE, Modesto, CA 95350
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Spencer Hoyt M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%1,894 patients4/55-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.
96%210 patients4/55-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…
11%221 patients1/55-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.
94%163 patients3/55-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.
75%548 patients4/55-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…
94%376 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 173 patients
88%171 patients4/55-star benchmark: 98%
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…
100%548 patients5/55-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…
8%548 patients1/55-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.
24%548 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.

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.

MR. BRIAN T MC CAFFREY M.D.
Urology
1541 FLORIDA AVE, SUITE 200
MODESTO, CA 95350
Stanislaus County (209) 577-3388
GIANG NGOC LAM M.D.
Family Medicine
1541 FLORIDA AVE, SUITE 200
MODESTO, CA 95350
Stanislaus County (209) 577-3388
JAY JIUNN-JER CHEN M.D.
Specialist
1541 FLORIDA AVE, STE 101
MODESTO, CA 95350
Stanislaus County (209) 575-3839
DR. TANYA HOA DAM DO
Internal Medicine (Gastroenterology)
1541 FLORIDA AVE, SUITE 200
MODESTO, CA 95350
Stanislaus County (209) 577-3388
MAYKEL IRANDOST MD
Internal Medicine (Pulmonary Disease)
1541 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 575-5833
DR. RAYMUNDO CAVOSORA RACELA M.D.
Surgery
1541 FLORIDA AVE, SUITE 200
MODESTO, CA 95350
Stanislaus County (209) 577-3388
DR. MICHAEL JONATHAN RINGER MD
Internal Medicine (Gastroenterology)
1541 FLORIDA AVE, SUITE 200
MODESTO, CA 95350
Stanislaus County (209) 577-3388
DR. RICKY BASSI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1541 FLORIDA AVE, STE #200
MODESTO, CA 95350
Stanislaus County (209) 577-3388

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 Hoyt's NPI number?

The NPI number for James Hoyt is 1568429231. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is James Hoyt located?

James Hoyt practices at 1541 Florida Ave Suite 304, Modesto, CA 95350. The listed phone number is (209) 577-3388.

What is James Hoyt's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is James Hoyt enrolled in Medicare?

Yes. James Hoyt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Hoyt was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.