Stacy James Moulton, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101239746 Issued in VA

Practice address

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Phone

(540) 361-1000

Fax

(540) 361-7010

NPI assigned

Oct 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Eastern Virginia Medical School, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiologic Associates of Fredericksburg LTDGroup PAC ID 2567447261, 69 clinicians

Medical Imaging of Fredericksburg, LLCGroup PAC ID 8426033135, 34 clinicians

Appalachian Mountains Medical LLCGroup PAC ID 6709016264, 43 clinicians

Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Dominion Imaging LLCGroup PAC ID 4688003445, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
• Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
• Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
• Maria Parham Medical Center Hospital, Henderson, NC, CCN 340132
• Person Memorial Hospital Hospital, Roxboro, NC, CCN 340159

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 34)

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.

• Medical Imaging of Fredericksburg, LLC

  • Radiology Clinic/Center
  • Fredericksburg, VA
  • NPI 1306884739
  Medicare reassignment Care Compare group NPD
• Radiologic Associates of Fredericksburg LTD

  • Diagnostic Radiology Physician
  • Fredericksburg, VA
  • NPI 1699711093
  Medicare reassignment Care Compare group NPD
• Meritus Medical Center Inc

  • Diagnostic Radiology Physician
  • Hagerstown, MD
  • NPI 1184477911

  VA

  Medicare reassignment Care Compare group NPD
• Dominion Imaging LLC

  • Diagnostic Radiology Physician
  • Chesapeake, VA
  • NPI 1336623123
  Medicare reassignment Care Compare group
• Appalachian Mountains Medical, LLC

  • Emergency Medicine Physician
  • Welch, WV
  • NPI 1881023117

  VA

  Medicare reassignment Care Compare group
• Chesapeake Radiologists LTD

  • Diagnostic Radiology Physician
  • Chesapeake, VA
  • NPI 1801815063
  Medicare reassignment NPD

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

• Chesapeake Hospital Authority

  • General Acute Care Hospital
  • Virginia Beach, VA
  • NPI 1003265075
  Care Compare affiliation
• Chesapeake Hospital Authority

  • Pharmacy
  • Chesapeake, VA
  • NPI 1558466318

  Hospital

  Care Compare affiliation
• Chesapeake Hospital Authority

  • General Acute Care Hospital
  • Chesapeake, VA
  • NPI 1700896354
  Care Compare affiliation
• DLP Maria Parham Medical Center LLC

  • General Acute Care Hospital
  • Henderson, NC
  • NPI 1164707725
  Care Compare affiliation
• DLP Maria Parham Medical Center LLC

  • Psychiatric Hospital Unit
  • Louisburg, NC
  • NPI 1689166605
  Care Compare affiliation
• DLP Person Memorial Hospital LLC

  • General Acute Care Hospital
  • Roxboro, NC
  • NPI 1881977593
  Care Compare affiliation
• Meritus Medical Center Inc

  • General Acute Care Hospital
  • Hagerstown, MD
  • NPI 1942281266
  Care Compare affiliation
• Raleigh General Hospital LLC

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1629015698
  Care Compare affiliation

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

{
    "created_epoch": "1130544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1356332449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 SPOTSYLVANIA AVE",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088606",
            "telephone_number": "540-361-1000",
            "fax_number": "540-361-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "540-361-1000",
            "fax_number": "540-361-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "STACY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-29",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101239746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saeid Motamedi, DDS
• Mohammad Motaweih
• Lawrence R Moter, M.D.
• Marquarite Motton
• Andrea Moulton, M.D.
• Mount Arvon Inpatient Services LLC
• Akil Mousa, PHARMD
• Kelly Mowry
• Joyce Catherine Corbin Moya, LCSW
• Lauren Elizabeth Moyles, RN, BSN, AG-ACNP

• Diagnostic Radiology Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.