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DR. KARINA LOYA D.P.M.
NPI 1598730160
Podiatrist in Waco, TX

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
201 COLONNADE PKWY, SUITE 100, WACO, TX 76712(254) 776-6995(254) 776-5577 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Karina Loya D.p.m. NPPES

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

DR. KARINA LOYA D.P.M. (NPI 1598730160) is an individual podiatrist in Waco, Texas, licensed in Texas (1438) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of College Of Podiatric Med And Surgery, Des Moines University (1997).

NPPES Registry Identity

NPI1598730160
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. KARINA LOYACredential: D.P.M.
Location Address201 COLONNADE PKWY, SUITE 100Waco, TX 76712-6174
Mailing Address201 Colonnade Pkwy, # 100Waco, TX 76712-6174 · (254) 776-6995 · Fax (254) 776-5577
Phone(254) 776-6995
Fax(254) 776-5577
Sole ProprietorNo
Medical School CMSCollege Of Podiatric Med And Surgery, Des Moines UniversityGraduated 1997
Enumeration DateFebruary 17, 2006
Last NPPES UpdateAugust 28, 2019
✔ NPI 1598730160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in TX · 1438
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
201 COLONNADE PKWY, Waco, TX 76712
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Other Identifiers 3

Other480028690TX · Medicare Railroad
Medicaid047294601TX
Other89151NTX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Karina Loya D.p.m. 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 ID547266025
PECOS Enrollment IDI20061005000332
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 10

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.
353 services251 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.
347 services178 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
195 services139 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
155 services30 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.
92 services92 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.
30 services23 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers30 claims60 services$58.69 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
2 suppliers22 claims123 services$37.49 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$21.46 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier13 claims13 services$214.99 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 4

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

GREEN EYE ASSOCIATES, PLLC
Optometrist
201 COLONNADE PKWY
WACO, TX 76712
McLennan County (254) 752-0471
DR. STEVEN A. STERRIKER D.P.M.
Podiatrist
201 COLONNADE PKWY, SUITE 100
WACO, TX 76712
McLennan County (254) 776-6995
BALLEW & ASSOCIATES PODIATRY, P.A.
Podiatrist (Foot & Ankle Surgery)
201 COLONNADE PKWY, SUITE 100
WACO, TX 76712
McLennan County (254) 779-6995
NEALAND OLIVER WILLINGHAM II D.P.M.
Podiatrist
201 COLONNADE PKWY, SUITE 100
WACO, TX 76712
McLennan County (254) 776-6995

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 Karina Loya's NPI number?

The NPI number for Karina Loya is 1598730160. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Karina Loya located?

Karina Loya practices at 201 Colonnade Pkwy Suite 100, Waco, TX 76712. The listed phone number is (254) 776-6995.

What is Karina Loya's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Karina Loya enrolled in Medicare?

Yes. Karina Loya 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 Karina Loya accept?

Health plans from Blue Cross and Blue Shield of Texas list Karina Loya 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 Karina Loya affiliated with any hospitals?

According to CMS data, Karina Loya is affiliated with Ascension Providence.

When was this NPI record last updated?

The NPPES record for Karina Loya was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.