DEREK MOELLER M.D.
NPI 1184725558
Internal Medicine in Houston, MS

Q: What is Derek Moeller's NPI number?

The NPI number for Derek Moeller is 1184725558. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Derek Moeller's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Moeller was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 26, 2006PECOS Enrolled

208 COUNTRY CLUB RD, HOUSTON, MS 38851(662) 456-3437(662) 452-2070 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Derek Moeller M.d. NPPES

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

DEREK MOELLER M.D. (NPI 1184725558) is an individual internal medicine provider in Houston, Mississippi, licensed in Mississippi (17537) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184725558

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDEREK MOELLERCredential: M.D.

Location Address208 COUNTRY CLUB RDHouston, MS 38851-9326

Mailing Address1114 Commonwealth BlvdTupelo, MS 38804-9301 · (662) 456-3437 · Fax (662) 452-2070

Phone(662) 456-3437

Fax(662) 452-2070

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateOctober 11, 2016

✔ NPI 1184725558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MS · 17537

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MS17537 (MS)

208 COUNTRY CLUB RD, Houston, MS 38851

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Other Identifiers 4

Medicare UPINF34296MS

Medicaid00125350MS

Medicare PIN302I118926MS

Medicaid09013750MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Moeller M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38851 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$215.65 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 5

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

PONTOTOC HEALTH SERVICES, INC.

Clinic/Center (Rural Health)