NPIMap

Individual provider Active NPI

Paul S Moniz, DO

  • Family Medicine Physician
  • Farmington, MO
National Provider Identifier
1154373017
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
114294 Issued in MO
Practice address
555 W Pine St Ste 300
Farmington, MO 63640-1439
Phone
(573) 747-1510
Fax
(573) 747-1512
NPI assigned
May 17, 2006
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 114294 MO Primary

Addresses

Primary practice location

555 W Pine St Ste 300
Farmington, MO 63640-1439

Mailing address

555 W Pine St Ste 300
Farmington, MO 63640-1439
Phone (573) 747-1510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060707000288 MO Practitioner - Osteopathic Manipulative MedicinePractitioner - General PracticePractitioner - Family Practice 2961414149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iron County Hospital DistrictGroup PAC ID 0941207526, 25 clinicians
Midwest Health Group, LLCGroup PAC ID 7214021385, 4 clinicians
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians
Aging Well Health Care, LLCGroup PAC ID 1153232038, 236 clinicians

Practice addresses (Care Compare)

301 N Hwy 21
Pilot Knob, MO 63663-7862
Phone (573) 546-0184

555 W Pine St
Farmington, MO 63640-1439
Phone (573) 474-1510

618 Maple Valley Dr
Suite a
Farmington, MO 63640-1976
Phone (573) 756-3400

620 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 454-2466

7212 Balson Ave
Saint Louis, MO 63130-3001

851 E 5TH St
Washington, MO 63090-3130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Family Medicine Current Accepting new patients
Mercy Clinic East Communities Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Iron County Hospital District CurrentSince Nov 22, 2024 Accepting new patients
Iron County Hospital District CurrentSince Nov 22, 2024 Accepting new patients
Midwest Health Group, LLC Current Accepting new patients
Mercy Clinic East Communities Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Camelot Healthcare, LLC Past Accepting new patients
American Nursing & Rehab LLC Past Accepting new patients
Midwest Health Group Convenient Care, LLC Past Accepting new patients
Farmington Clinic Company, LLC Family Medicine Past Accepting new patients
N & R of Fredericktown, Inc. Past Accepting new patients
Missouri Nursing Home & Rehab LLC Past Accepting new patients
Presbyterian Manors, Inc. Past Accepting new patients
Gateway Cardiovascular LLC PastSince Mar 26, 2020 Accepting new patients
Country Meadows Nursing & Rehab LLC Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Midwest Health Group Convenient Care, LLC Past Accepting new patients
Midwest Health Group Convenient Care, LLC Past Accepting new patients

Locations

55 Nesbit Dr
Bonne Terre, MO 63628
Phone (573) 358-1700

555 W Pine St
Farmington, MO 63640
Phone (573) 474-1510

555 W Pine St
Ste 300
Farmington, MO 63640
Phone (573) 747-1510

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

Interoperability endpoints

  • Direct secure messaging: paul.moniz@chof-mo.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heart & Soul HospiceFarmington, MO, CCN 261614 Hospice Contracted Managing Employee Jan 31, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1154373017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W PINE ST STE 300",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401439",
            "telephone_number": "573-747-1510",
            "fax_number": "573-747-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W PINE ST STE 300",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401439",
            "telephone_number": "573-747-1510",
            "fax_number": "573-747-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIZ",
        "first_name": "PAUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "114294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.