WYLIE MOODY, MD
NPI 1184582215
Dermatology in Victoria, TX
About Wylie Moody, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WYLIE MOODY, MD (NPI 1184582215) is a healthcare organization registered as a dermatology in Victoria, Texas and active in the NPI registry since January 2026. The organization lists Wylie Moody, Dermatologist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wylie Moody, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wylie Moody, MD, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wylie Moody, MD's NPI number?
The NPI number for Wylie Moody, MD is 1184582215. It was assigned to this organization in the NPPES registry on January 15, 2026.
Where is Wylie Moody, MD located?
Wylie Moody, MD is located at 6404 Nursery Dr Ste 201, Victoria, TX 77904. The listed phone number is (832) 330-9162.
What is Wylie Moody, MD's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Wylie Moody, MD enrolled in Medicare?
Yes. Wylie Moody, MD is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wylie Moody, MD?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Wylie Moody, MD. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wylie Moody, MD accept?
Health plans from Blue Cross and Blue Shield of Texas list Wylie Moody, MD 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.
When was this NPI record last updated?
The NPPES record for Wylie Moody, MD was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Wylie Moody, Md · NPI 1184582215
Dermatology organization in Victoria, Texas. Organization record, active in the CMS NPPES registry since January 15, 2026.
## Identity
- **NPI:** 1184582215 (Entity type: Organization)
- **Enumerated:** January 15, 2026
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Wylie Moody, DERMATOLOGIST/OWNER
## Practice location
- **Address:** 6404 NURSERY DR STE 201, Victoria, TX 77904-1688
- **Phone:** (832) 330-9162
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184582215) · Data from the CMS NPPES public registry.