Individual provider Active NPI

Jason Frederick Moy, MD

  • Surgery Physician
  • Walnut Creek, CA
National Provider Identifier
1447468236
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A104905 Issued in CA
Practice address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone
(925) 932-6330
Fax
(925) 932-0139
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301077667 MI
Surgery Physician 208600000X 244628 NY
Surgery Physician 208600000X A104905 CA Primary

Addresses

Primary practice location

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 932-6330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20081104000301 CA Practitioner - General Surgery 8224118625 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Human Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medamerica Physician Solutions PCGroup PAC ID 8729221809, 28 clinicians
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians
Cep America - Auc PCGroup PAC ID 9537481692, 26 clinicians

Practice addresses (Care Compare)

112 La Casa Via
Suite 135
Walnut Creek, CA 94598-3023
Phone (925) 471-4291

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 939-3000

240 La Casa Via
Suite 200
Walnut Creek, CA 94598-4866
Phone (925) 945-6644

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

6600 Lone Tree Way
Brentwood, CA 94513-5256
Phone (925) 932-6330

Hospital & facility affiliations

  • Gimag Home Health Care Home health agency, Livermore, CA, CCN 059787
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • Contra Costa Regional Medical Center Hospital, Martinez, CA, CCN 050276

Merit-based Incentive Payment System (MIPS)

Final score
99.58 of 100Reported as individual
Quality
81.06
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue259
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301077667MIMDSurgery Physician
244628NYMDSurgery Physician

Practice roles (13 of 14)

OrganizationSpecialtyStatusNew patients
Cep America - Auc PC CurrentSince Mar 1, 2020 Accepting new patients
Bass Medical Group CurrentSince Apr 1, 2009 Accepting new patients
Medamerica Physician Solutions PC CurrentSince Aug 19, 2025 Accepting new patients
Bass Medical Group CurrentSince Apr 1, 2009 Accepting new patients
Cep America - Auc PC Surgery CurrentSince Mar 1, 2020 Accepting new patients
Cep America - Auc PC Current Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients
Bass Medical Group Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Bass Medical Group Past Accepting new patients
California Emergency Physician Medical Group Past Accepting new patients
Brockton Podiatry Group a Prof Corp PastSince Feb 9, 2009 Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

6600 Lone Tree Way
Brentwood, CA 94513
Phone (925) 471-4223

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

384 Pearson Dr
Porterville, CA 93257
Phone (559) 781-5179

16 E Fern Ave
Ste B
Redlands, CA 92373
Phone (909) 435-4852

1080 Delbon Ave
Turlock, CA 95382
Phone (209) 634-8559

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

240 La Casa Via
Ste 200
Walnut Creek, CA 94598
Phone (925) 280-0800

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

112 La Casa Via
Ste 135
Walnut Creek, CA 94598
Phone (925) 378-4040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jason.moy.1@20515.direct.athenahealth.com
  • Direct secure messaging: jmoy18079@ehr.johnmuirhealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1447468236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-932-6330",
            "fax_number": "925-932-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-932-6330",
            "fax_number": "925-932-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "JASON",
        "middle_name": "FREDERICK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301077667",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "244628",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A104905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.