Individual provider Active NPI

Cory John Moczygemba, DPM

  • Foot & Ankle Surgery Podiatrist
  • New Braunfels, TX
National Provider Identifier
1780145466
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3143 Issued in TX
Practice address
1524 N Walnut Ave
New Braunfels, TX 78130-6074
Phone
(830) 625-1642
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 3143 TX Primary

Addresses

Primary practice location

1524 N Walnut Ave
New Braunfels, TX 78130-6074

Mailing address

1524 N Walnut Ave
New Braunfels, TX 78130-6074
Phone (830) 625-1642

Other practice location 1

2401 S 31st St # Msa1202
Temple, TX 76508-0001
Phone (254) 935-5750

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220629001274 TX Practitioner - Podiatry 8426383761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The San Antonio Orthopaedic Group LLPGroup PAC ID 6800798794, 143 clinicians

Practice addresses (Care Compare)

19138 US Hwy 281 N
San Antonio, TX 78258-4988
Phone (210) 804-5400

Hospital & facility affiliations

  • Resolute Health Hospital Hospital, New Braunfels, TX, CCN 670098

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal of skin lesions1-10
Removal of nail tissue26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The San Antonio Orthopaedic Group, LLP CurrentSince Oct 28, 2024 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Oct 28, 2024 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Steven B. Beito Dba New Braunfels Podiatry Associates Foot & Ankle Surgery PastSince Jul 15, 2022 Accepting new patients

Locations

601 Creekside Xing
Ste 106
New Braunfels, TX 78130
Phone (210) 630-4637

19138 US Highway 281 N
San Antonio, TX 78258
Phone (210) 253-2660

19138 US Highway 281 N
Ste 100
San Antonio, TX 78258
Phone (210) 593-1435

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

Interoperability endpoints

  • Direct secure messaging: cory.moczygemba.1@94.direct.athenahealth.com
  • Direct secure messaging: cory.moczygemba.1@3199.direct.athenahealth.com

Organizations & group practices 4

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 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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1780145466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306074",
            "telephone_number": "830-625-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306074",
            "telephone_number": "830-625-1642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St # Msa1202",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-935-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCZYGEMBA",
        "first_name": "CORY",
        "middle_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.