DAVID MOISAN PA
NPI 1003424367
Physician Assistant in Deer Park, NY

Active since July 22, 2020PECOS EnrolledAccepts Medicare Assignment
16 VAN COTT RD, DEER PARK, NY 11729(631) 274-0777 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Moisan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID MOISAN PA (NPI 1003424367) is an individual physician assistant in Deer Park, New York, licensed in New York (0252823) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2019).

NPPES Registry Identity

NPI1003424367
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID MOISANCredential: PA
Location Address16 VAN COTT RDDeer Park, NY 11729-6519
Mailing Address3 Sunken Meadow RdNorthport, NY 11768-2718 · (631) 896-8910
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2019
Enumeration DateJuly 22, 2020
NPPES CertifiedJuly 22, 2020
NPI 1003424367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 0252823
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
16 VAN COTT RD, Deer Park, NY 11729

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David Moisan Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719334473
PECOS Enrollment IDI20231117000666
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services14 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
14 services14 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11729 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
16 VAN COTT RD, SUITE 1W
DEER PARK, NY 11729
Physician Assistant (Medical)
16 VAN COTT RD
DEER PARK, NY 11729
Family Medicine
16 VAN COTT RD, SUITE 2E
DEER PARK, NY 11729
Family Medicine
16 VAN COTT RD, SUITE 2E
DEER PARK, NY 11729
Dentist (Oral and Maxillofacial Surgery)
16 VAN COTT RD
DEER PARK, NY 11729

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Moisan's NPI number?

The NPI number for David Moisan is 1003424367. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is David Moisan located?

David Moisan practices at 16 Van Cott Rd, Deer Park, NY 11729. The listed phone number is (631) 274-0777.

What is David Moisan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Moisan enrolled in Medicare?

Yes. David Moisan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Moisan was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.