Robert Clark Mooty, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

N0288 Issued in TX

Practice address

10105 Quaker Avenue
Lubbock, TX 79423-7380

Phone

(806) 797-6398

Fax

(806) 797-6399

NPI assigned

Jun 14, 2007

Last updated

Mar 16, 2016By the provider in NPPES

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 TX

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

Plastic and Reconstructive Surgery

Education

Texas Tech University Health Science Center School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert P. Schmid, MD, PAGroup PAC ID 5092780304, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clark.mooty@direct.myteamcare.com

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.

• Robert P. Schmid, MD, PA

  dba Lubbock Plastic Surgery Institute

  • Plastic Surgery Physician
  • Lubbock, TX
  • NPI 1881865236
  Medicare reassignment Care Compare group NPD
• Lubbock Plastic Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Lubbock, TX
  • NPI 1003264425
  NPD (past)

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

• Methodist Children's Hospital

  dba Covenant Children's Hospital

  • Children's Hospital
  • Lubbock, TX
  • NPI 1437171568
  Care Compare affiliation

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1730383423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 QUAKER AVENUE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794237380",
            "telephone_number": "806-797-6398",
            "fax_number": "806-797-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 QUAKER AVENUE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794237380",
            "telephone_number": "806-797-6398",
            "fax_number": "806-797-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOTY",
        "first_name": "ROBERT",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "N0288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Van Moore, O.D.
• Randy Michael Moore, O.T.R.
• Stephanie Christine Moore, LPC
• Tammylynne M Moore
• Whitney Lynn Moore, LCSW
• Ashley Mora, RN
• M. Charles Moradi, M.D.
• Damini Desai Morah, MS
• Mia Michelle Morales-Martinez, RDN
• Felix Morales

• Plastic and Reconstructive Surgery Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.