WALTER X LOYOLA M.D.
NPI 1689676520
Neurological Surgery in Plano, TX

Active since August 11, 2005PECOS Enrolled
75.27/100
CMS Quality Rating
3060 COMMUNICATIONS PKWY, SUITE 100, PLANO, TX 75093(972) 312-0607(972) 312-0805 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Walter X Loyola M.d. NPPES

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

WALTER X LOYOLA M.D. (NPI 1689676520) is an individual neurological surgery provider in Plano, Texas, licensed in Texas (H2031) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689676520
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameWALTER X LOYOLACredential: M.D.
Location Address3060 COMMUNICATIONS PKWY, SUITE 100Plano, TX 75093-8449
Mailing Address3060 Communications Pkwy, Suite 100Plano, TX 75093-8449 · (972) 312-0607 · Fax (972) 312-0805
Fax(972) 312-0805
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
NPI 1689676520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in TX · H2031
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License H2031 (TX)
3060 COMMUNICATIONS PKWY, Plano, TX 75093

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Walter X Loyola 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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
297 services146 patients
New patient office or other outpatient visit, 45-59 minutes 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.
83 services83 patients
Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
48 services48 patients
Follow-up hospital inpatient care per day, typically 35 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.
30 services14 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
28 services24 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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.

Physician Assistant
3060 COMMUNICATIONS PKWY, SUITE 100
PLANO, TX 75093
Clinic/Center (Radiology)
3060 COMMUNICATIONS PKWY, SUITE 103
PLANO, TX 75093
Internal Medicine
3060 COMMUNICATIONS PKWY, SUITE # 101
PLANO, TX 75093
Radiology (Diagnostic Neuroimaging)
3060 COMMUNICATIONS PKWY, SUITE 103
PLANO, TX 75093
Radiology (Diagnostic Radiology)
3060 COMMUNICATIONS PKWY, SUITE 103
PLANO, TX 75093
Internal Medicine
3060 COMMUNICATIONS PKWY, SUITE #101
PLANO, TX 75093
Clinic/Center (Pain)
3060 COMMUNICATIONS PKWY, SUITE 104
PLANO, TX 75093
Clinic/Center (Pain)
3060 COMMUNICATIONS PKWY, SUITE 104
PLANO, TX 75093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689676520, enumerated as an "individual" on August 11, 2005.

The provider is located at 3060 COMMUNICATIONS PKWY SUITE 100 PLANO, TX 75093 and the phone number is (972) 312-0607.

Neurological Surgery with taxonomy code 207T00000X.