Peter Vincent Moulder IV, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD442651 Issued in PA

Practice address

157 Waterdam Rd Ste 120
MC Murray, PA 15317-2573

Phone

(724) 941-7144

Fax

(724) 941-7625

NPI assigned

Jun 19, 2008

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

Other identifiers 1

Electronic endpoints 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Tulane University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allegheny Health Network Healthcare at Home Home Health Home health agency, Canonsburg, PA, CCN 398088
• Concordia Visiting Nurses Home health agency, Cabot, PA, CCN 397717
• Ospta Hospice Hospice, Belle Vernon, PA, CCN 391766
• Gallagher Hospice, LLC Hospice, Bridgeville, PA, CCN 391778
• Gateway Hospice Hospice, Pittsburgh, PA, CCN 391660
• Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
• Washington Hospital, the Hospital, Washington, PA, CCN 390042
• Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
• Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
• St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
• Townview Health and Rehabilitation Center Nursing home, Canonsburg, PA, CCN 395823

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pmoulder11186@direct.ahn.org

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.

• Allegheny Clinic

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493
  Medicare reassignment Care Compare group NPD
• Allegheny Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD
• Allegheny Clinic

  • Family Medicine Physician
  • Oakmont, PA
  • NPI 1790111706
  NPD
• Allegheny Clinic

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
  • NPI 1629078332
  NPD (past)
• Barr Street Corporation

  • Skilled Nursing Facility
  • Canonsburg, PA
  • NPI 1275536880
  NPD (past)

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

• Barr Street Corporation

  • Skilled Nursing Facility
  • Canonsburg, PA
  • NPI 1275536880

  Nursing home

  Care Compare affiliation
• Canonsburg General Hospital

  • General Acute Care Hospital
  • Canonsburg, PA
  • NPI 1962401497
  Care Compare affiliation
• Celtic Healthcare of Westmoreland LLC

  • Home Health Agency
  • Canonsburg, PA
  • NPI 1396490017
  Care Compare affiliation
• Concordia Visiting Nurses

  • Home Health Agency
  • Cabot, PA
  • NPI 1669474847
  Care Compare affiliation
• Gallagher Hospice, LLC

  • Community Based Hospice Care Agency
  • Bridgeville, PA
  • NPI 1891169785
  Care Compare affiliation
• Gateway Hospice & Palliative Care, Inc

  • Community Based Hospice Care Agency
  • Pittsburgh, PA
  • NPI 1598741258
  Care Compare affiliation
• Jefferson Regional Medical Center

  • Clinic/Center
  • Clairton, PA
  • NPI 1366488108

  Hospital

  Care Compare affiliation
• Jefferson Regional Medical Center

  • General Acute Care Hospital
  • Clairton, PA
  • NPI 1578560504
  Care Compare affiliation
• Ospta Home, LLC

  • Home Health Agency
  • Rostraver Township, PA
  • NPI 1164485777

  Hospice

  Care Compare affiliation
• St Clair Memorial Hospital

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1073587119
  Care Compare affiliation
• Upmc Washington

  • Special Hospital
  • Washington, PA
  • NPI 1336459452
  Care Compare affiliation
• Upmc Washington

  • General Acute Care Hospital
  • Washington, PA
  • NPI 1609984889
  Care Compare affiliation

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1376704577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WATERDAM RD STE 120",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172573",
            "telephone_number": "724-941-7144",
            "fax_number": "724-941-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 WATERDAM RD STE 120",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172573",
            "telephone_number": "724-941-7144",
            "fax_number": "724-941-7625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Blvd",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153179762",
            "country_code": "US",
            "telephone_number": "724-941-7144",
            "fax_number": "724-941-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULDER",
        "first_name": "PETER",
        "middle_name": "VINCENT",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD442651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102617399",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmoulder11186@direct.ahn.org",
            "affiliation": "N",
            "address_1": "100 Medical Blvd",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153179762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmoulder11186@direct.ahn.org",
            "affiliation": "N",
            "address_1": "157 Waterdam Rd Ste 120",
            "city": "Mc Murray",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153172573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mark R Mortland, PT/ATC
• Lynn Mosallem
• Rachel Elizabeth Mulholland
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• Colleen E Murphy, DO
• Myers Family Chiropractic
• Kevin Richard Myers, D.C.

• Internal Medicine Physician in MC Murray, PA
• Providers in MC Murray, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.