ZACHARY D LOEFFELHOLZ (MD) – Orthopaedic Surgery Physician, NPI 1114487063

ZACHARY D LOEFFELHOLZ (MD) is a healthcare provider. based in Fort worth, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 2024027296 (MO). The NPI Number for ZACHARY D LOEFFELHOLZ (MD) is 1114487063

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY D LOEFFELHOLZ (MD)
NPI
1114487063
Phone
(817) 702-3000
Address
1500 S MAIN ST
Enumeration Date
25 March 2019
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6602012228
Graduation Year
2019 (7 years ago)
PAC ID
0244733996
Group Practice PAC ID
7416931506
Professional Enrollment ID
I20250910002027
Address ID
MO640933101WA407XXRDXX325
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250910002027IOrthopedic SurgeryMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416931506View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerMO
Hematology/Oncology, Internal MedicineGA
Hospitalist, Internal MedicineTX
A N E S T H E S I O L O G YMO
General SurgeryMO
Emergency MedicineIL
Emergency Medicine, Family PracticeKS
Certified Registered Nurse Anesthetist (Crna)KS
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineMO

Reviews

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Frequently asked questions

Can I cross-check ZACHARY D LOEFFELHOLZ (MD) using NPI 1114487063?
NPI 1114487063 belongs to ZACHARY D LOEFFELHOLZ (MD); compare other details if you need extra assurance.
Is there an active status for ZACHARY D LOEFFELHOLZ (MD)?
For scheduling context, ZACHARY D LOEFFELHOLZ (MD) is shown as active in the registry.
What kind of doctor is ZACHARY D LOEFFELHOLZ (MD)?
ZACHARY D LOEFFELHOLZ (MD) is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ZACHARY D LOEFFELHOLZ (MD)?
Travel planning: use Fort Worth, Texas as the reference point for ZACHARY D LOEFFELHOLZ (MD), then confirm.
Can I trust this NPI listing for ZACHARY D LOEFFELHOLZ (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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