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NATHANIEL RAY MOXON
NPI 1275050361
Ophthalmology in Wauwatosa, WI

Active since August 29, 2017PECOS Enrolled
10425 W NORTH AVE STE 140, WAUWATOSA, WI 53226(414) 877-6414 Get Directions Write a Review

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

Record update history: Jan 25, 2026, Jul 21, 2022, Aug 29, 2017 (3 updates tracked since 2017).

About Nathaniel Ray Moxon NPPES

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

NATHANIEL RAY MOXON (NPI 1275050361) is an individual ophthalmology provider in Wauwatosa, Wisconsin, licensed in Wisconsin (86817-20) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275050361
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameNATHANIEL RAY MOXON
Location Address10425 W NORTH AVE STE 140Wauwatosa, WI 53226-2400
Mailing Address10425 W North Ave Ste 140Wauwatosa, WI 53226-2400 · (414) 877-6414
Phone(414) 877-6414
Sole ProprietorNo
Enumeration DateAugust 29, 2017
Last NPPES UpdateJanuary 25, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2026
✔ NPI 1275050361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 86817-20
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
10425 W NORTH AVE STE 140, Wauwatosa, WI 53226
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathaniel Ray Moxon 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 Nathaniel Moxon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Eye Care Of Wisconsin Sc
2.6 mi
Ophthalmology
10425 W NORTH AVE STE 245
Wauwatosa, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 clinicians in this Medicare group
NPI 1992350375 (414) 877-6414

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 53226 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 2

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

JOHN A VUKICH MD
Ophthalmology
10425 W NORTH AVE STE 140
WAUWATOSA, WI 53226
Milwaukee County (414) 877-6414
NICHOLAS J BRUNS OD
Optometrist
10425 W NORTH AVE STE 140
WAUWATOSA, WI 53226
Milwaukee County (414) 877-6414

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 Nathaniel Moxon's NPI number?

The NPI number for Nathaniel Moxon is 1275050361. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Nathaniel Moxon located?

Nathaniel Moxon practices at 10425 W North Ave Ste 140, Wauwatosa, WI 53226. The listed phone number is (414) 877-6414.

What is Nathaniel Moxon's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nathaniel Moxon enrolled in Medicare?

Yes. Nathaniel Moxon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nathaniel Moxon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Moxon reassigns Medicare benefits to Summit Eye Care Of Wisconsin Sc (Wauwatosa, WI). 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 Nathaniel Moxon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathaniel Moxon accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Nathaniel Moxon 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 Nathaniel Moxon was last updated on January 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.