DERICK W MOODY PA
NPI 1235551409
Clinical Nurse Specialist - Psychiatric/Mental Health in Springville, UT

Active since January 07, 2014PECOS EnrolledAccepts Medicare Assignment
672 W 400 S STE 201, SPRINGVILLE, UT 84663(801) 369-8989(801) 704-9741 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, Jul 2, 2020, May 17, 2016 (3 updates tracked since 2016).

About Derick W Moody Pa NPPES

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

DERICK W MOODY PA (NPI 1235551409) is an individual psychiatric/mental health provider in Springville, Utah, licensed in Utah (8820342-1206) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1235551409
Entity TypeIndividualMale
Primary Taxonomy364SP0808X
Provider Legal NameDERICK W MOODYCredential: PA
Location Address672 W 400 S STE 201Springville, UT 84663-3170
Mailing Address672 W 400 S, Ste 201Springville, UT 84663-3170 · (801) 812-4673 · Fax (801) 418-0941
Fax(801) 704-9741
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 7, 2014
Last NPPES UpdateSeptember 7, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1235551409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License Licensed in UT · 8820342-1206
Also ListedPhysician AssistantTaxonomy 363A00000X · License 8820342-1206 (UT)
672 W 400 S STE 201, Springville, UT 84663

Accepted Insurance

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

Derick W Moody Pa 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 ID3779713961
PECOS Enrollment IDI20140310000718
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 2

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.

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.
55 services24 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
43 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84663 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
47%1,503 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
32%94 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 410 patients
0%410 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

Psychiatry & Neurology (Psychiatry)
672 W 400 S STE 201
SPRINGVILLE, UT 84663
Psychiatry & Neurology (Psychiatry)
672 W 400 S STE 201
SPRINGVILLE, UT 84663
Social Worker (Clinical)
672 W 400 S STE 201
SPRINGVILLE, UT 84663
Physician Assistant
672 W 400 S STE 201
SPRINGVILLE, UT 84663
Psychiatry & Neurology (Psychiatry)
672 W 400 S STE 201
SPRINGVILLE, UT 84663
Physician Assistant
672 W 400 S STE 201
SPRINGVILLE, UT 84663
Social Worker (Clinical)
672 W 400 S STE 201
SPRINGVILLE, UT 84663
Nurse Practitioner (Psychiatric/Mental Health)
672 W 400 S STE 201
SPRINGVILLE, UT 84663

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 Derick Moody's NPI number?

The NPI number for Derick Moody is 1235551409. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Where is Derick Moody located?

Derick Moody practices at 672 W 400 S Ste 201, Springville, UT 84663. The listed phone number is (801) 369-8989.

What is Derick Moody's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Derick Moody enrolled in Medicare?

Yes. Derick Moody 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.

What insurance does Derick Moody accept?

Health plans from BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Derick Moody 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 Derick Moody was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.