DAVID CARROLL MOOTH MD
NPI 1255357778
Emergency Medicine in Carlyle, IL
About David Carroll Mooth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID CARROLL MOOTH MD (NPI 1255357778) is an individual emergency medicine provider in Carlyle, Illinois, licensed in Illinois (036-093809) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Crossroads Community Hospital, and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David Carroll Mooth Md 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.
Medicare Billing Reassignments
7Medicare enrollment records show David Mooth reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Centralia, IL 62801
- Reassigned Medicare billing, Illinois enrollment
- 69 clinicians in this Medicare group
Salem, IL 62881
- Reassigned Medicare billing, Illinois enrollment
- 228 clinicians in this Medicare group
Mount Vernon, IL 62864
- Reassigned Medicare billing, Illinois enrollment
- 81 clinicians in this Medicare group
Vandalia, IL 62471
- Reassigned Medicare billing, Illinois enrollment
- 652 clinicians in this Medicare group
Harrisburg, IL 62946
- Reassigned Medicare billing, Illinois enrollment
- 169 clinicians in this Medicare group
Lawrenceville, IL 62439
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1881643401 (Illinois)
- 78 clinicians in this Medicare group
- Reassigned Medicare billing, Illinois enrollment
- 208 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Crossroads Community Hospital
Acute Care Hospitals · Mount Vernon, ILFranklin Hospital
Critical Access Hospitals · Benton, ILHamilton Memorial Hospital
Critical Access Hospitals · Mcleansboro, ILAnna Hospital Corporation D/B/A Union County Hospital
Critical Access Hospitals · Anna, ILLawrence County Memorial Hospital
Critical Access Hospitals · Lawrenceville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62231 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.
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 David Mooth's NPI number?
The NPI number for David Mooth is 1255357778. It was assigned to this individual provider in the NPPES registry on July 15, 2006.
Where is David Mooth located?
David Mooth practices at 9360 Brinkman Rd, Carlyle, IL 62231. The listed phone number is (618) 594-2329.
What is David Mooth's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is David Mooth enrolled in Medicare?
Yes. David Mooth 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.
Which organizations bill Medicare for David Mooth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Mooth reassigns Medicare benefits to 7 organizations: Midwest Emergency Centralia Campus Associates, Inc (Centralia, IL), Deaconess Illinois Specialty Clinic, Inc. (Salem, IL), Midwest Emergency Good Samaritan, Inc (Mount Vernon, IL), Sarah Bush Lincoln Health Center (Vandalia, IL), Statera Health Care, LLC (Harrisburg, IL) and 2 more organizations, listed in the Medicare section above. Each 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 David Mooth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is David Mooth affiliated with any hospitals?
According to CMS data, David Mooth is affiliated with Crossroads Community Hospital, Franklin Hospital, Hamilton Memorial Hospital, Anna Hospital Corporation D/B/A Union County Hospital and Lawrence County Memorial Hospital.
When was this NPI record last updated?
The NPPES record for David Mooth was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# David Carroll Mooth, MD · NPI 1255357778
Emergency Medicine physician in Carlyle, Illinois. Individual provider, active in the CMS NPPES registry since July 15, 2006.
## Identity
- **NPI:** 1255357778 (Entity type: Individual)
- **Enumerated:** July 15, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036-093809 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 9360 BRINKMAN RD, Carlyle, IL 62231-3263
- **Phone:** (618) 594-2329
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Midwest Emergency Centralia Campus Associates, Inc (NPI 1396034245, Centralia, IL); Deaconess Illinois Specialty Clinic, Inc. (NPI 1730896291, Salem, IL); Midwest Emergency Good Samaritan, Inc (NPI 1629367578, Mount Vernon, IL); Sarah Bush Lincoln Health Center (NPI 1306959689, Vandalia, IL); Statera Health Care, LLC (NPI 1043874449, Harrisburg, IL); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** February 16, 2012
- **Other identifiers:** Medicare PIN R00294 (IL); Medicare UPIN G63900 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1255357778) · Data from the CMS NPPES public registry.