Individual provider Active NPI

Carolyn Marie Moyers, DO

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1952599037
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N6513 Issued in TX
Practice address
1125 S Henderson St
Fort Worth, TX 76104-4464
Phone
(817) 915-9803
Fax
(817) 918-7877
NPI assigned
Oct 14, 2007
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 256976 NY
Obstetrics & Gynecology Physician 207V00000X 4192 WV
Obstetrics & Gynecology Physician 207V00000X N6513 TX Primary

Addresses

Primary practice location

1125 S Henderson St
Fort Worth, TX 76104-4464

Mailing address

1125 S Henderson St
Fort Worth, TX 76104-4464
Phone (817) 915-9803

Other practice location 1

66 Hospital Plz Ste 103
Weston, WV 26452-8595
Phone (304) 269-3108

Other identifiers 1

IdentifierTypeStateIssuer
215717401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WV2 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
I20101101000825 TX Practitioner - Obstetrics/Gynecology 2365566239 Reassigns benefits to 3 organizations
I20240321004165 WV Practitioner - Obstetrics/Gynecology 2365566239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Texas HSC, College of Osteopathic Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 J D Anderson Dr
Morgantown, WV 26505-3486

1200 J D Anderson Dr
Morgantown, WV 26505-3494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256976NYMDObstetrics & Gynecology Physician
N6513TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faron Group PLLC Obstetrics & Gynecology CurrentSince Apr 1, 2015 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Mar 30, 2022 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Dec 9, 2023 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology CurrentSince Sep 1, 2019 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Dec 9, 2023 Accepting new patients
Questcare Obstetrics PLLC Obstetrics & Gynecology Past Accepting new patients
Baylor St. Luke's Medical Group PastSince Oct 1, 2017 Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

66 Hospital Plz
Ste 103
Weston, WV 26452
Phone (304) 269-3108

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHGJCD/Endpoint/IHGJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

Organizations & group practices 7

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.

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": "1192320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1952599037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044464",
            "telephone_number": "817-915-9803",
            "fax_number": "817-918-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044464",
            "telephone_number": "817-915-9803",
            "fax_number": "817-918-7877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Hospital Plz Ste 103",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WV",
            "postal_code": "264528595",
            "country_code": "US",
            "telephone_number": "304-269-3108",
            "fax_number": "304-269-3109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYERS",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-14",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "256976",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "4192",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N6513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215717401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.