Individual provider Active NPI

Mark W Moyer, RPA-C

  • Surgical Physician Assistant
  • East Amherst, NY
National Provider Identifier
1851373690
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
008128 Issued in NY
Practice address
8750 Transit Rd
Suite 105
East Amherst, NY 14051-2610
Phone
(716) 636-1470
Fax
(716) 636-1423
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 008128 NY Primary

Addresses

Primary practice location

8750 Transit Rd
Suite 105
East Amherst, NY 14051-2610

Mailing address

8750 Transit Rd
Suite 105
East Amherst, NY 14051-2610
Phone (716) 636-1470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130225000366 AZ Practitioner - Physician Assistant 0648374264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toca at Banner Health LLCGroup PAC ID 3072934777, 26 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians
Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

2222 E Highland Ave
Suite 300
Phoenix, AZ 85016-4879
Phone (602) 277-6211

25101 N Lake Pleasant Pkwy
Peoria, AZ 85383-1386
Phone (602) 610-6866

9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (623) 327-4000

9377 E Bell Rd
Suite 231
Scottsdale, AZ 85260-1503
Phone (602) 277-6211

9780 S Estrella Pkwy
Goodyear, AZ 85338-7114
Phone (623) 474-8101

Hospital & facility affiliations

  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115

Merit-based Incentive Payment System (MIPS)

Final score
78.94 of 100Reported as group
Quality
60.29
Promoting interoperability
98
Improvement activities
40
Cost
71.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5041AZMDGeneral Practice Dentistry
008128NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Oct 9, 2025 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Oct 9, 2025 Accepting new patients
Toca at Banner Health LLC CurrentSince May 1, 2020 Accepting new patients
Banner Physician Specialists Arizona LLC Past Accepting new patients

Locations

18700 N 64th Dr
Ste 205
Glendale, AZ 85308
Phone (602) 536-7480

9780 S Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 474-8101

1800 N Civic Sq
Ste 200
Goodyear, AZ 85395
Phone (623) 465-6506

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165

2222 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (602) 483-6165

9377 E Bell Rd
Ste 231
Scottsdale, AZ 85260
Phone (602) 313-1549

5002 S Mill Ave
Ste 101
Tempe, AZ 85282

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1851373690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 TRANSIT RD",
            "address_2": "SUITE 105",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512610",
            "telephone_number": "716-636-1470",
            "fax_number": "716-636-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 TRANSIT RD",
            "address_2": "SUITE 105",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512610",
            "telephone_number": "716-636-1470",
            "fax_number": "716-636-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "008128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

Verify at the official NPI Registry.