Jerald T. Loy, PA
NPI 1104851021ActiveIndividual· Physician Assistant, Medical· Albuquerque, NM
Physician Assistant, Medical (PA) with Optumcare New Mexico LLC, practicing in Albuquerque, New Mexico. Their prescriptions cost Medicare Part D more than their services did: $960,614 for 14,348 claims, against $45,120 paid for services in 2024. Lilly USA, LLC was the largest of 9 companies reporting payments in 2025, $410.84 in all, mostly food and beverage. Lists Lovelace Women's Hospital as a hospital affiliation.
Overview
| NPI | 1104851021 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 11, 2006 |
| Last updated in NPPES | Apr 26, 2024 |
| Certified by provider | Apr 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA2004-0005 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 267 |
|---|---|
| Services billed | 676 across 27 procedure codes |
| Paid by Medicare | $45,120 |
Part D prescriptions in 2024
| Prescriptions (claims) | 14,348 · 29,578 30-day fills |
|---|---|
| Patients | 933 |
| Total drug cost | $960,614 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Optumcare New Mexico LLCAlbuquerque, NM · 66 clinicians
Hospital affiliation
- Lovelace Women's HospitalAlbuquerque, NM
Industry payments (Open Payments)
- 2025$410.84 · 19 payments from 9 companies
- 2024$731.69 · 28 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $121.51 | 6 |
| Astrazeneca Pharmaceuticals LP | $114.76 | 2 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $48.77 | 3 |
| Vertex Pharmaceuticals Incorporated | $29.15 | 2 |
| Exact Sciences Corporation | $29.01 | 2 |
What the 2025 payments were for
- Food and Beverage$410.84 · 19 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 143 physician assistants in Albuquerque · All physician assistants in New Mexico