Mark B Moeller, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25731 Issued in NC

Practice address

137 Medical Lane
Pollocksville, NC 28573

Phone

(252) 633-1010

Fax

(252) 224-3071

NPI assigned

Aug 24, 2005

Last updated

Mar 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Internal MedicineAlso: Infectious Disease

Education

Geisel School of Medicine at Dartmouth, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Pollocksville, NC, CCN 347333
• 3HC Hospice, Goldsboro, NC, CCN 341551
• Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Merit-based Incentive Payment System (MIPS)

Final score

72.61 of 100Reported as group

Quality

57.39

Promoting interoperability

68

Improvement activities

40

Cost

77.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmoeller19452@carolinaeastmc.direct-ci.com

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

• Carolinaeast Physicians

  • Cardiovascular Disease Physician
  • New Bern, NC
  • NPI 1104066794

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Broad River Rehabilitation

  dba Broad River Rehab

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902317589
  Care Compare group
• Carolinaeast Physicians

  • Internal Medicine Physician
  • Pollocksville, NC
  • NPI 1255632006
  NPD
• Carolinaeast Physicians

  • Obstetrics & Gynecology Physician
  • New Bern, NC
  • NPI 1619868981
  NPD

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

• Carolinaeast Medical Center

  • General Acute Care Hospital
  • New Bern, NC
  • NPI 1801852835
  Care Compare affiliation
• Home Health and Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Goldsboro, NC
  • NPI 1558396622
  Care Compare affiliation
• Tar Heel Health Care Services, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Pollocksville, NC
  • NPI 1043243835
  Care Compare affiliation

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1053304097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896206",
            "telephone_number": "252-633-1010",
            "fax_number": "252-224-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MEDICAL LANE",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "28573",
            "telephone_number": "252-633-1010",
            "fax_number": "252-224-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "MARK",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "25731",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "25731",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8959922",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "59922",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202672E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie A Lewis, FNP
• Joseph Anthony Marcantel, ARNP
• Kathy Ann Marks, M.D.
• Kacia Kristin McCaghren Bray, PH.D., CCC-SLP
• Gerard M McPhee, MD
• Wendy P Moeller, MD
• Melba R Perry
• Realo Discount Drug of Pollocksville
• Evan Ryan Restelli, D.O.
• Jonathan Rivera Diaz, MD

• Internal Medicine Physician in Pollocksville, NC
• Providers in Pollocksville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.