Active NPI 1417948852 Individual Practitioner Male Practitioner

Matthew Sean Loftus , PA

Physician Assistant • Glens Falls, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Matthew Loftus, PA is a certified Physician Assistant practicing in Glens Falls, NY. With approximately 26 years of clinical experience since completing medical education in 2000, Matthew Loftus delivers high-quality medical care to the local community at 100 PARK ST.

Matthew Loftus is affiliated with Glens Falls Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Park St
Glens Falls Hospital Hospitalist Program

Glens Falls, NY 128014413

Telephone 5189265925

Fax 5189265917

Associated Practice Facility / Clinic

🏢 Adirondack Pathology Pc Facility NPI 1477538486

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Glens Falls, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +10.3 yrs vs City Avg

City Avg: 15.7 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

65 Specialists

Practicing in Glens Falls, NY (15701 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Loftus (26 Years) 26 Yrs

Glens Falls Specialty Average (15.7 Years) 15.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	306	141	$125.00	$65.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	100	70	$180.00	$98.47
99239 Hospital discharge day management, more than 30 minutes	95	92	$180.00	$95.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	34	$70.00	$40.93
99238 Hospital discharge day management, 30 minutes or less	38	38	$125.00	$67.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$399.00	$143.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	336	151	$125.00	$65.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	168	96	$180.00	$98.90
99239 Hospital discharge day management, more than 30 minutes	123	119	$180.00	$95.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	78	40	$70.00	$41.16
99238 Hospital discharge day management, 30 minutes or less	27	26	$125.00	$67.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$399.00	$144.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	344	136	$125.06	$59.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	130	82	$180.21	$85.39
99239 Hospital discharge day management, more than 30 minutes	88	86	$180.00	$87.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	39	$70.00	$32.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$399.00	$165.25
99217 Hospital observation care on day of discharge	26	26	$143.17	$59.62
99238 Hospital discharge day management, 30 minutes or less	22	22	$125.00	$59.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	321	139	$125.00	$59.98
99239 Hospital discharge day management, more than 30 minutes	130	127	$180.00	$88.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	126	84	$180.00	$86.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	28	$70.00	$32.16
99217 Hospital observation care on day of discharge	45	45	$143.90	$60.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$399.00	$167.43
99225 Subsequent observation care, typically 25 minutes per day	32	25	$144.28	$60.09
99220 Hospital observation care, typically 70 minutes	16	16	$367.00	$152.02
99238 Hospital discharge day management, 30 minutes or less	11	11	$125.00	$60.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	299	145	$125.00	$61.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	161	98	$180.00	$88.36
99239 Hospital discharge day management, more than 30 minutes	90	88	$180.00	$90.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	37	$70.29	$33.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	48	$399.00	$171.95
99217 Hospital observation care on day of discharge	39	37	$143.90	$61.50
99238 Hospital discharge day management, 30 minutes or less	32	32	$125.00	$61.44
99225 Subsequent observation care, typically 25 minutes per day	23	13	$144.28	$61.49
99220 Hospital observation care, typically 70 minutes	14	14	$367.00	$147.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	221	135	$180.00	$86.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	203	117	$125.00	$60.22
99239 Hospital discharge day management, more than 30 minutes	73	72	$180.00	$88.78
99238 Hospital discharge day management, 30 minutes or less	65	65	$125.00	$60.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	38	$70.00	$32.56
99217 Hospital observation care on day of discharge	43	43	$143.90	$60.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	37	$399.00	$167.39
99220 Hospital observation care, typically 70 minutes	15	15	$367.00	$153.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	141	138	$362.47	$166.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	100	60	$180.00	$85.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99	51	$125.05	$59.96
99220 Hospital observation care, typically 70 minutes	43	43	$312.86	$153.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	30	$70.00	$32.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$254.71	$112.38
99239 Hospital discharge day management, more than 30 minutes	34	34	$180.00	$88.83
99219 Hospital observation care, typically 50 minutes	20	20	$197.78	$112.01
99238 Hospital discharge day management, 30 minutes or less	12	12	$125.00	$60.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	136	126	$343.90	$166.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	54	$125.00	$59.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	37	$180.00	$85.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	38	$70.00	$32.29
99220 Hospital observation care, typically 70 minutes	48	48	$277.81	$150.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$241.03	$112.58
99239 Hospital discharge day management, more than 30 minutes	21	21	$180.00	$88.50
99219 Hospital observation care, typically 50 minutes	18	18	$195.00	$112.12
99238 Hospital discharge day management, 30 minutes or less	14	14	$125.00	$59.69

Medical Specialties & State Licenses

CMS Verified: 2021-06-17

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 007722

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02347946 (NY)

Commercial Insurance / Payer ID Rr Medicare

P00007685 (NY)

Hospital & Practice Group Affiliations

Glens Falls Hospital Inc

100 Park St, Glens Falls, NY 128014413

Phone: 5189261000

Glens Falls Hospital Inc

79 N St, Granville, NY 128321137

Phone: 5186420612

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners

Dr. Mathew Varughese , DO

Hospitalist

NPI 1023234002

Doctor of Osteopathic Medicine (D.O.)

Elizabeth Spooner-Dunn , FNP

Nurse Practitioner - Family

NPI 1043444383

Family Nurse Practitioner

Melody Markessinis , PA

Physician Assistant

NPI 1043796816

Physician Assistant

Dr. Marcille Labban , MD

Internal Medicine

NPI 1073863403

Doctor of Medicine (M.D.)

Anna Dyakova , PA

Physician Assistant

NPI 1073885307

Physician Assistant

Gwendolyn Morris-Dickinson , PA-C

Physician Assistant

NPI 1093721086

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location September 02, 2020

Registered at 100 PARK ST, GLENS FALLS HOSPITAL HOSPITALIST PROGRAM, GLENS FALLS, NY 128014413 (Tel: 5189265925)

📍

Updated Business Mailing Address September 02, 2020

Registered at 100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 128014413 (Tel: 5189266992)

✅

NPI Profile Active June 09, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 09, 2009

Registered at 100 PARK ST, GLENS FALLS HOSPITAL, GLENS FALLS, NY 128014413 (Tel: 5189265918)

📍

Updated Business Mailing Address June 09, 2009

Registered at PO BOX 304, GLENS FALLS, NY 128010304 (Tel: 5189265918)

👤

Provider Name / Credentials Updated June 09, 2009

Recorded as MATTHEW LOFTUS, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2009

Physician Assistant (License #007722 in NY)

🟢

Initial NPI Registration & Enumeration November 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417948852

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 03, 2005

Last Update: June 17, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Park Street, Glens Falls Hospital - Credentialing

Glens Falls, NY 128014413

Phone: 5189266992

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.