MICHAEL HOOMAN MOGHIMI M.D.
NPI 1063640001
Orthopaedic Surgery in Austin, TX

Active since June 29, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4611 GUADALUPE ST STE 200, AUSTIN, TX 78751(512) 476-2830 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 29, 2026, Jun 25, 2018 (2 updates tracked since 2018).

About Michael Hooman Moghimi M.d. NPPES

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

MICHAEL HOOMAN MOGHIMI M.D. (NPI 1063640001) is an individual orthopaedic surgery provider in Austin, Texas, licensed in Texas (P9228) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Baylor College Of Medicine (2008).

NPPES Registry Identity

NPI1063640001
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL HOOMAN MOGHIMICredential: M.D.
Location Address4611 GUADALUPE ST STE 200Austin, TX 78751
Mailing Address4611 Guadalupe St Ste 200Austin, TX 78751-2928 · (512) 476-2830 · Fax (512) 476-2832
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2008
Enumeration DateJune 29, 2009
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1063640001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · P9228
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4611 GUADALUPE ST STE 200, Austin, TX 78751

Accepted Insurance

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

Michael Hooman Moghimi M.d. 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 ID3678793809
PECOS Enrollment IDI20150912000012
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 26

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
436 services319 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
385 services267 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
383 services272 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
182 services112 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
164 services89 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
101 services101 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

The Hospital At Westlake Medical Center

Acute Care Hospitals · Austin, TX
OwnershipPhysician
CMS Certification Number670006
Location5656 Bee Caves Road, Suite M-302Austin, TX 78746 · Travis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78751 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers13 claims13 services$45.66 avg. paid by Medicare
Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
3 suppliers45 claims45 services$3,759.79 avg. paid by Medicare
Cervical, multiple post collar, occipital/mandibular supports, adjustable L0180
DME-Orthotic Devices · category DF000N
2 suppliers14 claims14 services$300.69 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
3 suppliers31 claims31 services$545.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
4611 GUADALUPE ST STE 200
AUSTIN, TX 78751
Physical Therapist
4611 GUADALUPE ST STE 200
AUSTIN, TX 78751
Orthopaedic Surgery
4611 GUADALUPE ST STE 200
AUSTIN, TX 78751
Surgery (Surgery of the Hand)
4611 GUADALUPE ST STE 200
AUSTIN, TX 78751
Physical Therapist
4611 GUADALUPE ST STE 200
AUSTIN, TX 78751
Physician Assistant
4611 GUADALUPE ST STE 200
AUSTIN, TX 78751
Orthopaedic Surgery
4611 GUADALUPE ST STE 200
AUSTIN, TX 78751
Physician Assistant
4611 GUADALUPE ST STE 200
AUSTIN, TX 78751

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 Michael Moghimi's NPI number?

The NPI number for Michael Moghimi is 1063640001. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Michael Moghimi located?

Michael Moghimi practices at 4611 Guadalupe St Ste 200, Austin, TX 78751. The listed phone number is (512) 476-2830.

What is Michael Moghimi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Moghimi enrolled in Medicare?

Yes. Michael Moghimi 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.

What insurance does Michael Moghimi accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and UnitedHealthcare list Michael Moghimi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Moghimi affiliated with any hospitals?

According to CMS data, Michael Moghimi is affiliated with St David's Medical Center and The Hospital At Westlake Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Moghimi was last updated on January 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.