Active NPI
James L Moeller, MD
- Sports Medicine (Family Medicine) Physician
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 33178
- Practice address
- 6040 University Town Centre Dr
Morgantown, WV 26501-2421 - Phone
- (304) 293-1020
- Fax
- (304) 293-7042
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 33178 | WV | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | JM063478 | MI |
Addresses
Primary practice location
6040 University Town Centre Dr
Morgantown, WV 26501-2421
Mailing address
37000 Woodward Ave
Ste 300
Bloomfield Hills, MI 48304-0922
Phone (248) 952-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Michigan State University College of Human Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novacare Outpatient Rehabilitation East, Inc.
Practice addresses (Care Compare)
2175 McClellandtown Rd
Masontown, PA 15461-2593
Phone (724) 491-5220
6040 University Town Centre Dr
Morgantown, WV 26501-2421
Phone (304) 285-7222
Hospital & facility affiliations
- West Virginia University Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.34 of 100
- Quality
- 77.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.96
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33178 | WV | MD | Licensed Practical Nurse |
| JM063478 | MI | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wvu Medical Corporation | Multi-Specialty | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Sports Medicine Associates,PLC | Multi-Specialty | Current | Accepting new patients |
| West Virginia University Medical Corporation | Multi-Specialty | Current | Accepting new patients |
Locations
3121 University Dr
Ste 140
Auburn Hills, MI 48326
Phone (248) 475-1295
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
6040 University Town Centre Dr
Morgantown, WV 26501
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Multi-Specialty
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Neurological Surgery Physician
- Bridgeport, WV
- NPI 1245625581
Multi-Specialty
-
- Sports Medicine (Family Medicine) Physician
- Auburn Hills, MI
- NPI 1366505802
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1093797136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37000 WOODWARD AVE",
"address_2": "STE 300",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483040922",
"telephone_number": "248-952-9200",
"fax_number": "248-952-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 UNIVERSITY TOWN CENTRE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265012421",
"telephone_number": "304-293-1020",
"fax_number": "304-293-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOELLER",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": "WV",
"license": "33178",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MI",
"license": "JM063478",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.