Individual provider Active NPI

Jon B Loftus, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • East Syracuse, NY
National Provider Identifier
1184616203
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
186641 Issued in NY
Practice address
6620 Fly Road
Ste 200
East Syracuse, NY 13057
Phone
(315) 464-4472
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 186641 NY Primary
Surgery of the Hand (Surgery) Physician 2086S0105X 186641 NY
Orthopaedic Surgery Physician 207X00000X 186641 NY

Addresses

Primary practice location

6620 Fly Road
Ste 200
East Syracuse, NY 13057

Mailing address

6620 Fly Road
Ste 200
East Syracuse, NY 13057
Phone (315) 464-4472

Other identifiers 1

IdentifierTypeStateIssuer
01269034MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806001132 NY Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 2264404607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Plastic and Reconstructive Surgery
Education
University of Rochester School of Medicine and Dentistry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Orthopedics, LLPGroup PAC ID 1456344514, 33 clinicians

Practice addresses (Care Compare)

208 Township Blvd
Suite 200
Camillus, NY 13031-1674
Phone (315) 551-6000

6620 Fly Rd
Suite 100
East Syracuse, NY 13057-4281
Phone (315) 484-4472

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as group
Quality
90.7
Promoting interoperability
100
Improvement activities
40
Cost
80.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)31
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Orthopedics, LLP Orthopaedic Surgery CurrentSince Sep 1, 1991 Accepting new patients
Upstate Orthopedics, LLP Orthopaedic Surgery CurrentSince Sep 1, 1991 Accepting new patients

Locations

208 Township Blvd
Ste 200
Camillus, NY 13031
Phone (315) 464-4472

6620 Fly Rd
Ste 200
East Syracuse, NY 13057
Phone (315) 464-4472

6620 Fly Rd
Ste 100
East Syracuse, NY 13057
Phone (315) 464-4472

Interoperability endpoints

  • Direct secure messaging: jloftus7162@direct.upstate.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1184616203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 FLY ROAD",
            "address_2": "STE 200",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "13057",
            "telephone_number": "315-464-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 FLY ROAD",
            "address_2": "STE 200",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "13057",
            "telephone_number": "315-464-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTUS",
        "first_name": "JON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "186641",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "186641",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "186641",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01269034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.