CALVIN MOY MD
NPI 1154558732
Family Medicine in Pontiac, IL

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1506 W REYNOLDS ST, PONTIAC, IL 61764(815) 844-6123(815) 884-7851 Get Directions Write a Review

NPPES record last updated: November 7, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Calvin Moy Md NPPES

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

CALVIN MOY MD (NPI 1154558732) is an individual family medicine provider in Pontiac, Illinois, licensed in Illinois (036-128985) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Rush Medical College Of Rush University (2009).

NPPES Registry Identity

NPI1154558732
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCALVIN MOYCredential: MD
Location Address1506 W REYNOLDS STPontiac, IL 61764-9674
Mailing Address1506 W Reynolds StPontiac, IL 61764-9674 · (815) 844-6123 · Fax (815) 884-7851
Fax(815) 884-7851
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2009
Enumeration DateJune 22, 2009
Last NPPES UpdateNovember 7, 2012
NPI 1154558732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036-128985
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125057045 (IL)
1506 W REYNOLDS ST, Pontiac, IL 61764

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

Calvin Moy Md 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 ID446410906
PECOS Enrollment IDI20120321000453
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 9

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.
341 services193 patients
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.
339 services227 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.
212 services129 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.
133 services133 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
93 services93 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
88 services88 patients

Hospital Affiliations CMS Care Compare 2

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61764 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 through an Alternative Payment Model

Referred Medical Equipment & Supplies CMS DME claims

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
9 suppliers24 claims49 services$5.79 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 10

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

Nurse Practitioner
1506 W REYNOLDS ST
PONTIAC, IL 61764
Nurse Practitioner
1506 W REYNOLDS ST
PONTIAC, IL 61764
Family Medicine
1506 W REYNOLDS ST
PONTIAC, IL 61764
Family Medicine
1506 W REYNOLDS ST
PONTIAC, IL 61764
Nurse Practitioner (Family)
1506 W REYNOLDS ST
PONTIAC, IL 61764
Nurse Practitioner (Family)
1506 W REYNOLDS ST
PONTIAC, IL 61764
Nurse Practitioner (Primary Care)
1506 W REYNOLDS ST
PONTIAC, IL 61764
Physician Assistant
1506 W REYNOLDS ST
PONTIAC, IL 61764

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 Calvin Moy's NPI number?

The NPI number for Calvin Moy is 1154558732. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Calvin Moy located?

Calvin Moy practices at 1506 W Reynolds St, Pontiac, IL 61764. The listed phone number is (815) 844-6123.

What is Calvin Moy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Calvin Moy enrolled in Medicare?

Yes. Calvin Moy 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.

Is Calvin Moy affiliated with any hospitals?

According to CMS data, Calvin Moy is affiliated with St Johns Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Calvin Moy was last updated on November 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.