Individual provider Active NPI

Eric Moffett, DPM

  • Foot & Ankle Surgery Podiatrist
  • Suffolk, VA
National Provider Identifier
1275875718
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301183 Issued in VA
Practice address
171 N Main St
Suffolk, VA 23434-4507
Phone
(757) 934-0768
NPI assigned
Mar 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301183 VA Primary

Addresses

Primary practice location

171 N Main St
Suffolk, VA 23434-4507

Mailing address

171 N Main St
Suffolk, VA 23434-4507
Phone (757) 934-0768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161205001398 VA Practitioner - Podiatry 8022398205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1Foot 2Foot Centre for Foot and Ankle Care PCGroup PAC ID 7315042835, 10 clinicians

Practice addresses (Care Compare)

171 N Main St
Suffolk, VA 23434-4507
Phone (757) 934-0768

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093

Merit-based Incentive Payment System (MIPS)

Final score
86.35 of 100Reported as individual
Quality
72.71
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue93
Removal of skin lesions16
Removal of nail tissue1131
Removal or shaving of skin growth627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301183VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
1Foot 2Foot Centre for Foot and Ankle Care, PC Foot & Ankle Surgery CurrentSince Sep 1, 2016 Accepting new patients
1Foot 2Foot Centre for Foot and Ankle Care, PC CurrentSince Sep 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients

Locations

109 Wimbledon Sq
Ste F
Chesapeake, VA 23320
Phone (757) 436-9898

5835 Harbour View Blvd
Ste A
Suffolk, VA 23435
Phone (757) 384-6617

171 N Main St
Suffolk, VA 23434
Phone (757) 934-0768

1700 Pleasure House Rd
Ste 101
Virginia Beach, VA 23455
Phone (757) 363-3338

Interoperability endpoints

  • Direct secure messaging: emoffett@weil.emadirect.md

Organizations & group practices 3

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 2

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": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1275875718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 N MAIN ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344507",
            "telephone_number": "757-934-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N MAIN ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344507",
            "telephone_number": "757-934-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "ERIC",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.