Individual provider Active NPI

Donald J. Moyer, M.D.

  • Neurological Surgery Physician
  • Cape Coral, FL
National Provider Identifier
1851354179
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME76649 Issued in FL
Practice address
632 Del Prado Blvd N
Cape Coral, FL 33909-2278
Phone
(239) 772-5577
Fax
(239) 573-1528
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME76649 FL Primary

Addresses

Primary practice location

632 Del Prado Blvd N
Cape Coral, FL 33909-2278

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 772-5577

Other identifiers 2

IdentifierTypeStateIssuer
2552345-00MedicaidFL
44466OtherFLBCBS

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://www.mylinks.com/ Other
Direct Messaging Address donaldmoyerjr@si.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100812000725 FL Practitioner - Neurosurgery 2264566272 Reassigns benefits to 2 organizations
I20121003000514 GA Practitioner - Neurosurgery 2264566272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Northwestern University Feinberg Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians
Advanced Physical Therapy and Rehab of Cape Coral LLCGroup PAC ID 1951439660, 64 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

1402 SE 16TH PL
Cape Coral, FL 33990-3819
Phone (239) 772-2363

632 Del Prado Blvd N
Suite 1
Cape Coral, FL 33909-2278
Phone (239) 772-5577

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion181
Laminectomy or laminotomy (partial removal of spine bones)110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME76649FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc CurrentSince Jul 27, 2012 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Oct 28, 2022 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Oct 28, 2022 Accepting new patients
LMR Imaging Past Accepting new patients
Southeastern Surgical Associates Past Accepting new patients

Locations

632 Del Prado Blvd N
Ste 101
Cape Coral, FL 33909
Phone (239) 772-5577

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

632 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 343-3800

632 Del Prado Blvd N
Ste 1
Cape Coral, FL 33909
Phone (239) 468-8076

12600 Creekside Ln
Fort Myers, FL 33919
Phone (239) 437-8008

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

12700 Creekside Ln
Ste 101
Fort Myers, FL 33919
Phone (239) 432-0774

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

2500 Starling St
Ste 503
Brunswick, GA 31520
Phone (912) 466-5503

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: dmoyer6625@direct.leememorial.org

Organizations & group practices 8

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1851354179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-772-5577",
            "fax_number": "239-573-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 DEL PRADO BLVD N",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092278",
            "telephone_number": "239-772-5577",
            "fax_number": "239-573-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "DONALD",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME76649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2552345-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44466",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://www.mylinks.com/",
            "affiliation": "N",
            "endpointDescription": "MyLinks FHIR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "632 Del Prado Blvd N",
            "address_2": "Suite 101",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339092278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donaldmoyerjr@si.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging Address",
            "address_1": "632 Del Prado Blvd N",
            "address_2": "Suite 101",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339092278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.