Provider profile

David LoyaMD

Orthopaedic Surgery

NPI 1194794388
1500 Pleasant Valley Way, Suite 101, West Orange, NJ 07052973-669-5600

Check your plan

Medicare Advantage plans for Essex County, NJ.

Checked Oct 24, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 9 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list David on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 45 Medicare Advantage plans we show for Essex County, NJ in 2027

  • 9 list David
  • 35 not listed
  • 1 not checked yet

Humana

6 plans list David; not listed on 1 other plan.

6plans
  • Humana Gold Plus H6622-100 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1500 Pleasant Valley Way, West Orange, NJ, 07052

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH6622-100-002Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1500 Pleasant Valley Way, West Orange, NJ, 07052

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-174-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H5216-319 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1500 Pleasant Valley Way, West Orange, NJ, 07052

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-319-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H7617-045 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1500 Pleasant Valley Way, West Orange, NJ, 07052

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-045-000Medicare.gov
    $0a month

Wellcare

3 plans list David.

3plans
  • Wellcare Assist (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1500 Pleasant Valley Way, Ste 101, West Orange, NJ, 07052

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH0913-015-000Medicare.gov
    $0a month
  • Wellcare Low Premium (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1500 Pleasant Valley Way, Ste 101, West Orange, NJ, 07052

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH0913-002-000Medicare.gov
    $35a month
  • Wellcare Fidelis Dual Align (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1500 Pleasant Valley Way, Ste 101, West Orange, NJ, 07052

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH0913-013-000Medicare.gov
    $28.40a month

Aetna Medicare

Not listed on its 7 plans here. That isn't proof they're out of network.

Clover Health

Not listed on its 6 plans here. That isn't proof they're out of network.

Devoted

Not listed on its 6 plans here. That isn't proof they're out of network.

Horizon Blue Cross Blue Shield of New Jersey

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

1 more Horizon Blue Cross Blue Shield of New Jersey plan hasn't been checked yet.

UnitedHealthcare

Not listed on its 11 plans here. That isn't proof they're out of network.

Wellpoint

Not listed on its 3 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether David takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Practice location

1500 Pleasant Valley Way, Suite 101
West Orange, NJ 07052

NPI Registry
NPI issued
2006
Registry record updated
Feb 26, 2014

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list David Loya?

In Essex County, NJ, 9 Medicare Advantage plans for 2027 list David in provider data from Medicare.gov or the carrier, including Humana Gold Plus H6622-100 (HMO), Humana USAA Honor Giveback (PPO) and HumanaChoice Giveback H5216-319 (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does David Loya take Humana Medicare Advantage plans?

Humana's own provider directory lists David on 6 Medicare Advantage plans for 2027 in Essex County, NJ, including Humana Gold Plus H6622-100 (HMO) and Humana USAA Honor Giveback (PPO). 1 other plan did not return a listing in the search area. Confirm with the office or Humana before you enroll.

Does David Loya take Wellcare Medicare Advantage plans?

Medicare.gov provider data lists David on 3 Medicare Advantage plans for 2027 in Essex County, NJ, including Wellcare Assist (HMO-POS) and Wellcare Low Premium (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Wellcare before you enroll.

Does David Loya take Aetna Medicare Medicare Advantage plans?

The provider searches didn't return a listing for David on these 7 plans for 2027 in Essex County, NJ. Directories can lag, and a clinician can be in network at another office, so that isn't proof David is out of network. Ask the office or a Silverpath advisor to confirm.

Where does David Loya practice?

1500 Pleasant Valley Way, Suite 101, West Orange, NJ 07052.

How do I confirm David is in my plan's network?

Call the member services number on your plan card and give them the NPI 1194794388, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm David's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for David Loya on 33 plans from Aetna Medicare, Clover Health, Devoted, UnitedHealthcare and Wellpoint in Essex County, NJ. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2014-02-26). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by David Loya or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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