WALTER LOYOLA, M.D.
Neuromusculoskeletal Medicine & OMM Physician in PLANO, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What stands out: WALTER LOYOLA, M.D. reported a CMS MIPS final score of 75.2752 out of 100, below the 83.1 national average, and filed 190 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.
WALTER LOYOLA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
WALTER LOYOLA, M.D. at a glance
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Texas
How Neuromusculoskeletal Medicine & OMM Physician compares to other specialties among Texas providers
Neuromusculoskeletal Medicine & OMM Physician share within Texas
Neuromusculoskeletal Medicine & OMM Physician is one of the more visible NUCC categories in Texas
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
WALTER LOYOLA, M.D.'s 2023 MIPS final score plotted against the Neuromusculoskeletal Medicine & OMM Physician national average
- MIPS Final Score
- 75.2752/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Neuromusculoskeletal Medicine & OMM Physician) — 75.2752/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Neuromusculoskeletal Medicine & OMM Physician US NPIs
75.2752/100 MIPS final score — 7.8 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Neuromusculoskeletal Medicine & OMM Physician. Quality dim: 68.0792. Cost dim: 49.5048.
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
WALTER LOYOLA, M.D. is a Neuromusculoskeletal Medicine & OMM Physician provider practicing in PLANO, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1689676520. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.
WALTER LOYOLA, M.D. appears in the CMS NPPES registry as a Neuromusculoskeletal Medicine & OMM Physician provider holding M.D. credentials at 3060 COMMUNICATIONS PKWY, PLANO, TX, 75093, with a listed phone of (972) 312-0607. NPI 1689676520 was issued on 08/11/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LOYOLA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 190 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 8.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.2752/100 for the 2023 performance year (Quality 68.0792, Cost 49.5048), compared with the national average of 83.1.
Neuromusculoskeletal Medicine & OMM Physician is a narrow specialty nationwide, with 1,235 enrolled providers across 51 states and an average of 1,107 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1689676520 |
|---|---|
| Specialty | Neuromusculoskeletal Medicine & OMM Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/11/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm WALTER LOYOLA, M.D.'s current license status, disciplinary history, and board certifications with the Texas Medical Board in Texas before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
License & disciplinary context — Texas TMB 2023 annual report
Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to WALTER LOYOLA, M.D.. To verify WALTER LOYOLA, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 243
- Total Day Supply
- 6,367
- Generic Drug Cost
- $4K
- Opioid Claims
- 16 (8.4% rate)
Patient Demographics
- Average Patient Age
- 73.5 years
- Avg HCC Risk Score
- 1.09
- Gender Split
- 58% female / 42% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Celecoxib | 66 |
| Meloxicam | 35 |
| Gabapentin | 21 |
| Methylprednisolone | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Neuromusculoskeletal Medicine & OMM Physician Overview
How WALTER LOYOLA, M.D. fits within the Neuromusculoskeletal Medicine & OMM Physician landscape nationally.
WALTER LOYOLA, M.D.'s 190 claims are below the specialty average of 1,107.
Nearby Neuromusculoskeletal Medicine & OMM Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as LOYOLA.
Compare Neuromusculoskeletal Medicine & OMM Physician nationally: see state-by-state distribution →
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
Explore Texas
Frequently Asked Questions
What is WALTER LOYOLA, M.D.'s specialty? ▼
How much does WALTER LOYOLA, M.D. prescribe under Medicare Part D? ▼
What is WALTER LOYOLA, M.D.'s Medicare quality score? ▼
Where is WALTER LOYOLA, M.D. located? ▼
What is WALTER LOYOLA, M.D.'s NPI number? ▼
Does WALTER LOYOLA, M.D. prescribe opioids? ▼
How many Neuromusculoskeletal Medicine & OMM Physician providers are there in the US? ▼
What drugs does WALTER LOYOLA, M.D. prescribe most often? ▼
Does WALTER LOYOLA, M.D. accept Medicare? ▼
How can I verify WALTER LOYOLA, M.D.'s credentials? ▼
Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology