Individual provider Active NPI

Andrew Wells Moulton, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Clearwater, FL
National Provider Identifier
1649292046
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME96175 Issued in FL
Practice address
1700 N McMullen Booth Rd Ste B1
Clearwater, FL 33759-2100
Phone
(727) 474-7411
Fax
(833) 974-2140
NPI assigned
Jul 24, 2006
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME96175 FL
Orthopaedic Surgery Physician 207X00000X 223687 NY
Orthopaedic Surgery of the Spine Physician 207XS0117X ME96175 FL Primary

Addresses

Primary practice location

1700 N McMullen Booth Rd Ste B1
Clearwater, FL 33759-2100

Mailing address

1700 N McMullen Booth Rd Ste B1
Clearwater, FL 33759-2100
Phone (727) 474-7411

Other practice location 1

1745 E Hwy 50
Clermont, FL 34711-5037
Phone (352) 537-8868

Other practice location 2

2801 SE 1st Ave Ste 302
Ocala, FL 34471-0478
Phone (352) 537-8868

Other practice location 3

115 NE 6th Ave
Gainesville, FL 32601-3416
Phone (352) 537-8868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130129000199 FL Practitioner - Orthopedic Surgery 6406844737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Stony Brook, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

3845 SE Lake Weir Ave
Ocala, FL 34480-9153
Phone (352) 693-3378

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion35
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96175FLMDOrthopaedic Surgery Physician
223687NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Orthopedic Associates LLC Orthopaedic Surgery CurrentSince Jan 1, 2013 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Joseph Spine, PA Orthopaedic Surgery of the Spine CurrentSince Jan 1, 2018 Accepting new patients
Sarasota Orthopedic Associates, LLC Orthopaedic Surgery CurrentSince Jan 1, 2013 Accepting new patients
Sarasota Orthopedic Associates LLC Orthopaedic Surgery Past Accepting new patients
Sarasota Orthopedic Associates LLC Orthopaedic Surgery Past Accepting new patients
University Orthopaedics, PC Orthopaedic Surgery Past Accepting new patients
Sarasota Orthopedic Associates LLC Orthopaedic Surgery Past Accepting new patients
All Spine Care, LLC Past Accepting new patients
Sarasota Orthopedic Associates LLC Past Accepting new patients

Locations

1840 Mease Dr
Ste 309
Safety Harbor, FL 34695
Phone (727) 216-1141

2750 Bahia Vista St
Ste 100
Sarasota, FL 34239

6230 University Pkwy
Ste 203
Sarasota, FL 34240
Phone (813) 448-3848

2727 W Mlk Blvd
Ste 590
Tampa, FL 33607
Phone (813) 534-6269

Interoperability endpoints

  • Direct secure messaging: amoulton189308@orlandohealth.medalliesdirect.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1649292046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N MCMULLEN BOOTH RD STE B1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592100",
            "telephone_number": "727-474-7411",
            "fax_number": "833-974-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N MCMULLEN BOOTH RD STE B1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592100",
            "telephone_number": "727-474-7411",
            "fax_number": "833-974-2140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1745 E Hwy 50",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347115037",
            "country_code": "US",
            "telephone_number": "352-537-8868",
            "fax_number": "833-974-2140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 SE 1st Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710478",
            "country_code": "US",
            "telephone_number": "352-537-8868",
            "fax_number": "833-974-2140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 NE 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326013416",
            "country_code": "US",
            "telephone_number": "352-537-8868",
            "fax_number": "833-974-2140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "ANDREW",
        "middle_name": "WELLS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME96175",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "223687",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME96175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.