CHARLES ALLEN MOSS MD
NPI 1215055207
Family Medicine in La Jollaa, CA
About Charles Allen Moss Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES ALLEN MOSS MD (NPI 1215055207) is an individual family medicine provider in La Jollaa, California, licensed in California (G033632) and active in the NPI registry since March 2007. He has opted out of Medicare through July 24, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Charles Allen Moss Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 24, 2024 through July 24, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LA JOLL, CA 92037
LA JOLLA, CA 92037
LA JOLLA, CA 92037
LA JOLLA, CA 92037
LA JOLLA, CA 92037
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 Charles Moss's NPI number?
The NPI number for Charles Moss is 1215055207. It was assigned to this individual provider in the NPPES registry on March 27, 2007.
Where is Charles Moss located?
Charles Moss practices at 8950 Villa La Jolla Drive A217, La Jollaa, CA 92037. The listed phone number is (858) 457-1314.
What is Charles Moss's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Charles Moss enrolled in Medicare?
No. Charles Moss has opted out of Medicare through July 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Charles Moss was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Charles Allen Moss, MD · NPI 1215055207
Family Medicine physician in La Jollaa, California. Individual provider, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1215055207 (Entity type: Individual)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** G033632 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8950 VILLA LA JOLLA DRIVE, A217, La Jollaa, CA 92037-1711
- **Phone:** (858) 457-1314 · **Fax:** (858) 457-3615
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 24, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN A45618
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Source: [NPI Profile](https://npiprofile.com/npi/1215055207) · Data from the CMS NPPES public registry.