STEPHAN MICHAEL MOSS
NPI 1063906857
Nurse Practitioner - Family in Brigham City, UT

Q: What is Stephan Moss's NPI number?

The NPI number for Stephan Moss is 1063906857. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Q: What is Stephan Moss's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stephan Moss was last updated on November 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 15, 2018PECOS EnrolledAccepts Medicare Assignment

600 W HOSPITAL RD, BRIGHAM CITY, UT 84302(435) 734-2041 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 21, 2018, Jun 15, 2018 (2 updates tracked since 2018).

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About Stephan Michael Moss NPPES

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

STEPHAN MICHAEL MOSS (NPI 1063906857) is an individual family provider in Brigham City, Utah, licensed in Utah (10566698-4405) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Nell J Redfield Memorial Hospital, and maintains a secondary practice location in Perry.

NPPES Registry Identity

NPI1063906857

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHAN MICHAEL MOSS

Location Address600 W HOSPITAL RDBrigham City, UT 84302-3006

Mailing Address600 W Hospital RdBrigham City, UT 84302-3006 · (435) 734-2041

Phone(435) 734-2041

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 15, 2018

Last NPPES UpdateNovember 21, 20182 updates tracked since enumeration

✔ NPI 1063906857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 10566698-4405

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 10566698-3102 (UT)

600 W HOSPITAL RD, Brigham City, UT 84302

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Secondary Practice Location 1

Location 11545 Canyon View DrPerry, UT 84302-6713 · Phone (480) 773-3969

Other Identifiers 1

Other10566698-4405UT · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Stephan Michael Moss 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 ID3779822325

PECOS Enrollment IDI20190227000303

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 4

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 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.

336 services175 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

30 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

27 services25 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Nell J Redfield Memorial Hospital

Critical Access Hospitals · Malad, ID

OwnershipGovernment - Local

CMS Certification Number131303

Location150 North 200 WestMalad, ID 83252 · Oneida County

Emergency services

Brigham City Community Hospital

Acute Care Hospitals · Brigham City, UT

OwnershipProprietary

CMS Certification Number460017

Location950 South Medical DriveBrigham City, UT 84302 · Box Elder County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84302 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers18 claims54 services$4.55 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers12 claims12 services$87.68 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers12 claims36 services$33.03 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers17 claims98 services$2.25 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$16.51 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims11 services$37.69 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 13

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

TYE B HARRISON D.O.

Family Medicine (Sports Medicine)