Active NPI
Jeffrey Alan Moyer, DO
- Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS019492
- Practice address
- 4190 City Ave
Philadelphia, PA 19131-1626 - Phone
- (215) 871-6693
- NPI assigned
- Feb 28, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | ||
| Surgery Physician | 208600000X | OS019492 | PA | Primary |
Addresses
Primary practice location
4190 City Ave
Philadelphia, PA 19131-1626
Mailing address
4190 City Ave
Philadelphia, PA 19131-1626
Phone (215) 871-6693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- General Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Nutt Rd
Interventional Pain Management
Phoenixville, PA 19460-3906
Phone (484) 973-6045
1597 Medical Dr
Pottstown, PA 19464-3224
Phone (610) 327-7770
1600 E High St
Suite 100
Pottstown, PA 19464-5008
Phone (610) 327-7766
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.7 of 100
- Quality
- 76.12
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.71
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 36 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS019492 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenixville Clinic Company LLC | Surgery | Current | Accepting new patients |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Pottstown Clinic Company LLC | Surgery | Current | Accepting new patients |
| Pottstown Hospital, LLC | Past | Accepting new patients | |
| Pottstown Hospital Company LLC | Past | Accepting new patients |
Locations
826 Main St
Ste 302
Phoenixville, PA 19460
Phone (215) 546-6050
140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000
826 Main St
Ste 301
Phoenixville, PA 19460
Phone (610) 422-5000
730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835
1597 Medical Dr
#2
Pottstown, PA 19464
Phone (610) 327-7770
Interoperability endpoints
- https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
Organizations & group practices 6
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.
-
- Neurology Physician
- Phoenixville, PA
- NPI 1275173957
-
- Vascular Surgery Physician
- Limerick, PA
- NPI 1790746345
-
- Pediatrics Physician
- Pottstown, PA
- NPI 1881696664
-
- General Acute Care Hospital
- Pottstown, PA
- NPI 1649794421
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenixville, PA
- NPI 1750805552
-
- General Acute Care Hospital
- Pottstown, PA
- NPI 1649794421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569024000000",
"number": "1336564244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4190 CITY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191311626",
"telephone_number": "215-871-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4190 CITY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191311626",
"telephone_number": "215-871-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "JEFFREY",
"middle_name": "ALAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-28",
"last_updated": "2019-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "OS019492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; 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.