MARY MONTGOMERY BOURKE MOSELEY D.O.
NPI 1235593161
Emergency Medicine in Bronx, NY

Q: What is Mary Moseley's NPI number?

The NPI number for Mary Moseley is 1235593161. It was assigned to this individual provider in the NPPES registry on April 6, 2016. The provider is also known as Mary Bourke.

Q: What is Mary Moseley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Moseley was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 06, 2016PECOS Enrolled

100/100

CMS Quality Rating

111 E 210TH ST, BRONX, NY 10467(718) 920-6626 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2020, Jun 11, 2020 (2 updates tracked since 2020).

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About Mary Montgomery Bourke Moseley D.o. NPPES

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

MARY MONTGOMERY BOURKE MOSELEY D.O. (NPI 1235593161) is an individual emergency medicine provider in Bronx, New York, licensed in New York (304487) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1235593161

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameMARY MONTGOMERY BOURKE MOSELEYCredential: D.O.

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address3411 Wayne Ave Fl 6Bronx, NY 10467-2552 · (610) 304-8066

Phone(718) 920-6626

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016

Enumeration DateApril 6, 2016

Last NPPES UpdateJune 18, 20202 updates tracked since enumeration

NPPES CertifiedJune 18, 2020

✔ NPI 1235593161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NY · 304487

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

111 E 210TH ST, Bronx, NY 10467

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Other Names 1

Former Name (1)Mary Bourke

Secondary Practice Location 1

Location 11400 Pelham Pkwy S, Building 6//Suite B125Bronx, NY 10461-1138 · Phone (718) 918-5820

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Montgomery Bourke Moseley D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981010295

PECOS Enrollment IDI20210311002067

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 3

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

40 services36 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

38 services37 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)