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DR. KYRRA MOFFATT D.O.
NPI 1194922419
Pediatrics in La Mesa, CA

Active since June 29, 2007PECOS Enrolled
8881 FLETCHER PKWY STE 205, LA MESA, CA 91942(619) 464-6434(619) 464-5109 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2016, May 16, 2016 (2 updates tracked since 2016).

About Dr. Kyrra Moffatt D.o. NPPES

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

DR. KYRRA MOFFATT D.O. (NPI 1194922419) is an individual pediatrics provider in La Mesa, California, licensed in California (20A10604) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194922419
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KYRRA MOFFATTCredential: D.O.
Location Address8881 FLETCHER PKWY STE 205La Mesa, CA 91942-3187
Mailing Address8881 Fletcher Pkwy Ste 205La Mesa, CA 91942-3187 · (619) 464-6434 · Fax (619) 464-5109
Phone(619) 464-6434
Fax(619) 464-5109
Sole ProprietorNo
Enumeration DateJune 29, 2007
Last NPPES UpdateApril 15, 20252 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1194922419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 20A10604
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8881 FLETCHER PKWY STE 205, La Mesa, CA 91942
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyrra Moffatt D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Kyrra Moffatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency And Acute Care Medical Corporation
8.7 mi
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
NPI 1437103942 (858) 939-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 11

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

KRISTEN LEANNE EMPIE MD
Pediatrics
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434
PAUL MICHAEL IMUS MD
Pediatrics (Adolescent Medicine)
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434
RAQUEL MARIE CLIPPINGER
Nurse Practitioner (Pediatrics)
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434
DR. CORINNE JEAN ANCONA YOUNG D.O.
Family Medicine
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 270-4388
DR. RINA REGALA RONQUILLO M.D.
Pediatrics
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434
DR. CORRIE TOLERICO CLAY MD
Pediatrics
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434
KATHERINE WARD APRN, FNP-C
Nurse Practitioner (Primary Care)
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434
LYNDSEY RESTELLI MSN, RN, CPNP-PC
Registered Nurse (Pediatrics)
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434

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 Kyrra Moffatt's NPI number?

The NPI number for Kyrra Moffatt is 1194922419. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Kyrra Moffatt located?

Kyrra Moffatt practices at 8881 Fletcher Pkwy Ste 205, La Mesa, CA 91942. The listed phone number is (619) 464-6434.

What is Kyrra Moffatt's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kyrra Moffatt enrolled in Medicare?

Yes. Kyrra Moffatt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyrra Moffatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyrra Moffatt reassigns Medicare benefits to Emergency And Acute Care Medical Corporation (San Diego, CA). The 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 Kyrra Moffatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyrra Moffatt was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.