ZACHARY D LOEFFELHOLZ (MD) – Orthopaedic Surgery Physician, NPI 1114487063
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,194 ORTHOPEDIC SURGERY in TX
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Provider Addresses for ZACHARY D LOEFFELHOLZ (MD)
John Peter Smith Hospital, 1500, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761044917
Phone: (817) 702-3000
Type: Location
1517 S THERESA AVE UNIT 305
SAINT LOUIS, MO 631041394
Phone: (402) 960-5823
Type: Mailing
403 BURKARTH RD
WARRENSBURG, MO 640933101
Phone: (660) 747-2228
Fax: (660) 747-7677
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $1,923.
Total Amount is formed as General ($1,923) + Research ($0) + Ownership ($0) = $1,923.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,049).
Total Amount
$1,923
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,923
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-10
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250910002027 | I | Orthopedic Surgery | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76104)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | MO | |
| Hematology/Oncology, Internal Medicine | GA | |
| Hospitalist, Internal Medicine | TX | |
| A N E S T H E S I O L O G Y | MO | |
| General Surgery | MO | |
| Emergency Medicine | IL | |
| Emergency Medicine, Family Practice | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Sleep Medicine | MO |
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