NPI registry status
Active
2026 NPPES data Neuromusculoskeletal Medicine & OMM Physician NPI 1689676520 M.D.
Verify on CMS → Walter Loyola, M.D.
Neuromusculoskeletal Medicine & OMM Physician in Plano, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,233 in Neuromusculoskeletal Medicine & OMM Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
190
Medicare Part D claims · 91 beneficiaries · Neuromusculoskeletal Medicine & OMM Physician avg: 1K
MIPS score
75.3/100
▼ 8 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Walter Loyola, M.D. reported a CMS MIPS final score of 75.3/100 - below the 83.1 national average - and filed 190 Medicare Part D claims in 2023.
- 75.3/100
- MIPS score · -8 vs avg
- 190
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Walter Loyola, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 15th percentile higher than 15% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Walter Loyola, M.D. sits
This provider among neuromusculoskeletal medicine & omm physician peers
Across the 101 neuromusculoskeletal medicine & omm physician providers who report both Medicare Part D prescribing and a MIPS quality score, Walter Loyola, M.D. writes more Part D claims than 34% of them and scores higher on MIPS quality than 24% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one neuromusculoskeletal medicine & omm physician peer from a representative sample of 60; the gold marker is Walter Loyola, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
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).
What does the federal data show about Walter Loyola, M.D.?
Below national averagePrimary specialty
Neuromusculoskeletal Medicine & OMM Physician
Medicare Part D claims
190 83% vs specialty avg
MIPS final score
75.3/100 7.8 pts vs avg
Specialty distribution in Texas
How Neuromusculoskeletal Medicine & OMM Physician compares to other specialties among Texas providers
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
- 75.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Neuromusculoskeletal Medicine & OMM Physician) - 75.3/100 vs national avg 83.1
How MIPS and board certification work
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. 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.
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%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.3/100 for the 2023 performance year (Quality 68.1, Cost 49.5), compared with the national average of 83.1.
Neuromusculoskeletal Medicine & OMM Physician is a narrow specialty nationwide, with 1,233 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 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75.2752
Final Score
Avg: 83.1
68.0792
Quality
49.5048
Cost
100
Promoting Interoperability
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.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
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.
190
Total Claims
$4K
Total Drug Cost
91
Medicare Beneficiaries
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.
What Walter Loyola, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Celecoxib
Celecoxib
66 claims
- Meloxicam
Meloxicam
35 claims
- Gabapentin 21
Gabapentin
21 claims
- Methylprednisolone 16
Methylprednisolone
16 claims
| 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.
More Neuromusculoskeletal Medicine & OMM Physician in TX →
All providers in Texas →
Compare specialties →
Neuromusculoskeletal Medicine & OMM Physician Overview
How Walter Loyola, M.D. fits within the Neuromusculoskeletal Medicine & OMM Physician landscape nationally.
1,233
Neuromusculoskeletal Medicine & OMM Physician Providers in US
51
States with Neuromusculoskeletal Medicine & OMM Physician
1,107
Avg Claims per Provider
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.
Dr. Luis Acosta
M.D.
El Paso, TX
Dr. Ramey Alfarra
DO
Granbury, TX
Dr. James Aston
D.O.
Fort Worth, TX
Dr. Elizabeth Balyakina
MS, MPH, DO
San Antonio, TX
Dr. Matthew Barker
D.O.
Fort Worth, TX
Compare Neuromusculoskeletal Medicine & OMM Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neuromusculoskeletal Medicine & OMM Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Walter Loyola, M.D.'s specialty? ▼
Walter Loyola, M.D. specializes in Neuromusculoskeletal Medicine & OMM Physician and practices in Plano, Texas. Credentials: M.D..
How much does Walter Loyola, M.D. prescribe under Medicare Part D? ▼
In 2023, Walter Loyola, M.D. wrote 190 Medicare Part D claims totaling $4K in drug costs for 91 beneficiaries.
What is Walter Loyola, M.D.'s Medicare quality score? ▼
Walter Loyola, M.D. has a CMS MIPS Final Score of 75.3/100 (Quality: 68.1, Cost: 49.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Walter Loyola, M.D. located? ▼
Walter Loyola, M.D. is located at 3060 COMMUNICATIONS PKWY, Plano, TX, 75093. Phone: (972) 312-0607.
What is Walter Loyola, M.D.'s NPI number? ▼
Walter Loyola, M.D.'s National Provider Identifier (NPI) is 1689676520, issued on 08/11/2005.
Does Walter Loyola, M.D. prescribe opioids? ▼
Yes, Walter Loyola, M.D. had 16 opioid claims in 2023 with an opioid prescribing rate of 8.4%.
How many Neuromusculoskeletal Medicine & OMM Physician providers are there in the US? ▼
There are 1,233 Neuromusculoskeletal Medicine & OMM Physician providers across 51 states in the US. The average Neuromusculoskeletal Medicine & OMM Physician provider writes 1,107 Medicare Part D claims per year.
What drugs does Walter Loyola, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Walter Loyola, M.D.'s most frequently prescribed drugs include Celecoxib, Meloxicam, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Walter Loyola, M.D. accept Medicare? ▼
Walter Loyola, M.D. appears in CMS Medicare data with 190 Part D claims and 91 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Walter Loyola, M.D.'s credentials? ▼
Walter Loyola, M.D.'s NPI is 1689676520 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.