Individual provider Active NPI

Bradley William Moatz, M.D.

  • Orthopaedic Surgery Physician
  • Baltimore, MD
National Provider Identifier
1700049103
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D79199 Issued in MD
Practice address
3333 N Calvert St Ste 655
Baltimore, MD 21218-6516
Phone
(410) 554-2867
Fax
(410) 554-2917
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 71264 GA
Orthopaedic Surgery Physician 207X00000X D79199 MD Primary

Addresses

Primary practice location

3333 N Calvert St Ste 655
Baltimore, MD 21218-6516

Mailing address

3333 N Calvert St Ste 655
Baltimore, MD 21218-6516
Phone (410) 554-2867

Other identifiers 1

IdentifierTypeStateIssuer
095853100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20150729008444 MD Practitioner - Orthopedic Surgery 5799901724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Pennsylvania State University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2000

2118 Greenspring Dr
Timonium, MD 21093-3112
Phone (410) 560-3480

2900 S Hanover St
Medstar Harbor Orthopaedics
Baltimore, MD 21225-1232
Phone (410) 350-2663

3304 Guilford Ave
Baltimore, MD 21218-2829
Phone (410) 554-6740

3333 N Calvert St
Baltimore, MD 21218-6502

412 Malcolm Dr
Suite 200
Westminster, MD 21157-6174
Phone (410) 751-8800

9501 Old Annapolis Rd
Suite 220
Ellicott City, MD 21042-6332
Phone (410) 772-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion273
Laminectomy or laminotomy (partial removal of spine bones)167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71264GAMDOrthopaedic Surgery Physician
D79199MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Sep 1, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 28, 2017 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Sep 1, 2016 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

3333 N Calvert St
Ste 655
Baltimore, MD 21218
Phone (410) 554-2175

2700 Quarry Lake Dr
Ste 300
Baltimore, MD 21209

2900 S Hanover St
Brooklyn, MD 21225
Phone (410) 350-8300

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

9501 Old Annapolis Rd
Ste 220
Ellicott City, MD 21042
Phone (410) 772-2000

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

4 Park Center Ct
Ste 102
Owings Mills, MD 21117
Phone (410) 377-3484

2 Loveton Cir
Sparks Glencoe, MD 21152
Phone (410) 472-7091

412 Malcolm Dr
Ste 200
Westminster, MD 21157
Phone (410) 751-7930

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.

Hospital & facility affiliations 5

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1700049103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST STE 655",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186516",
            "telephone_number": "410-554-2867",
            "fax_number": "410-554-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST STE 655",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186516",
            "telephone_number": "410-554-2867",
            "fax_number": "410-554-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOATZ",
        "first_name": "BRADLEY",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "71264",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D79199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095853100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.