Individual provider Active NPI

William H Moretz, MD

  • Otology & Neurotology Physician
  • Augusta, GA
National Provider Identifier
1013942291
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
24465 Issued in GA
Practice address
818 Saint Sebastian Way
Suite 204
Augusta, GA 30901-2651
Phone
(706) 724-0668
Fax
(706) 724-1124
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X 24465 GA Primary

Addresses

Primary practice location

818 Saint Sebastian Way
Suite 204
Augusta, GA 30901-2651

Mailing address

818 Saint Sebastian Way
Suite 204
Augusta, GA 30901-2651
Phone (706) 724-0668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000401 GA Practitioner - Otolaryngology 3870668809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of North Carolina at Chapel Hill School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

818 Saint Sebastian Way
Suite 204
Augusta, GA 30901-2652
Phone (706) 724-0668

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Otologic Clinic PC Otology & Neurotology CurrentSince Jan 2, 1987 Accepting new patients

Locations

818 Saint Sebastian Way
Ste 204
Augusta, GA 30901
Phone (706) 724-0668

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1013942291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 204",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012651",
            "telephone_number": "706-724-0668",
            "fax_number": "706-724-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 204",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012651",
            "telephone_number": "706-724-0668",
            "fax_number": "706-724-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETZ",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "GA",
            "license": "24465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.