MR. ALFREDO LOERA PA-C
NPI 1720025125
Physician Assistant in Grandview, WA

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
91.52/100
CMS Quality Rating
1000 WALLACE WAY, GRANDVIEW, WA 98930(509) 882-3444 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2025, Aug 5, 2020, Aug 6, 2019 (3 updates tracked since 2019).

About Mr. Alfredo Loera Pa-c NPPES

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

MR. ALFREDO LOERA PA-C (NPI 1720025125) is an individual physician assistant in Grandview, Washington, licensed in Washington (PA10003771) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Trios Health, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1720025125
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ALFREDO LOERACredential: PA-C
Location Address1000 WALLACE WAYGrandview, WA 98930-8805
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 2, 2006
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1720025125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10003771
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA10003771 (WA)
1000 WALLACE WAY, Grandview, WA 98930

Accepted 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

Mr. Alfredo Loera Pa-c 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 ID1850380262
PECOS Enrollment IDI20040511000428
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 7

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
194 services185 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
185 services180 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
110 services101 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.
43 services41 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Trios Health

Acute Care Hospitals · Kennewick, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500053
Location900 South Auburn StreetKennewick, WA 99336 · Benton County
Emergency services Birthing friendly

Prosser Memorial Hospital

Critical Access Hospitals · Prosser, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501312
Location723 Memorial StreetProsser, WA 99350 · Benton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98930 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

91.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.37
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
1000 WALLACE WAY
GRANDVIEW, WA 98930
Dietitian, Registered
1000 WALLACE WAY
GRANDVIEW, WA 98930
Student in an Organized Health Care Education/Training Program
1000 WALLACE WAY
GRANDVIEW, WA 98930
Dentist
1000 WALLACE WAY
GRANDVIEW, WA 98930
Family Medicine
1000 WALLACE WAY
GRANDVIEW, WA 98930
Dietitian, Registered
1000 WALLACE WAY
GRANDVIEW, WA 98930
Pharmacy (Community/Retail Pharmacy)
1000 WALLACE WAY
GRANDVIEW, WA 98930
Counselor
1000 WALLACE WAY
GRANDVIEW, WA 98930

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 Alfredo Loera's NPI number?

The NPI number for Alfredo Loera is 1720025125. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Alfredo Loera located?

Alfredo Loera practices at 1000 Wallace Way, Grandview, WA 98930. The listed phone number is (509) 882-3444.

What is Alfredo Loera's specialty?

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

Is Alfredo Loera enrolled in Medicare?

Yes. Alfredo Loera 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 Alfredo Loera accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Alfredo Loera 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 Alfredo Loera affiliated with any hospitals?

According to CMS data, Alfredo Loera is affiliated with Trios Health and Prosser Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Alfredo Loera was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.