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DR. JACK HOLLAND MOODY MD
NPI 1285682609
Internal Medicine in Harrisburg, PA

Active since May 05, 2006PECOS Enrolled
82.54/100
CMS Quality Rating
805 SIR THOMAS CT, FIRST FLOOR, HARRISBURG, PA 17109(717) 988-0020(717) 703-5746 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 26, 2021, Jun 25, 2020, Aug 30, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Jack Holland Moody Md NPPES

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

DR. JACK HOLLAND MOODY MD (NPI 1285682609) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD040716L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1285682609
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JACK HOLLAND MOODYCredential: MD
Location Address805 SIR THOMAS CT, FIRST FLOORHarrisburg, PA 17109
Mailing Address805 Sir Thomas Ct Fl 1Harrisburg, PA 17109-4839 · (717) 988-0020 · Fax (717) 703-5746
Phone(717) 988-0020
Fax(717) 703-5746
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 5, 2006
Last NPPES UpdateJanuary 26, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
✔ NPI 1285682609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD040716L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
805 SIR THOMAS CT, Harrisburg, PA 17109
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Other Identifiers 1

Medicaid001157470PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Holland Moody Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577643337
PECOS Enrollment IDI20080107000106
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 Jack Moody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinnacle Health Medical Services
Same address
Orthopaedic Surgery
820 SIR THOMAS CT
Harrisburg, PA 17109
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1770155913 (176) 529-5557

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 10

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.
834 services341 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
457 services208 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
183 services183 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
64 services64 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services48 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
53 services53 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers28 claims91 services$6.34 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims15 services$1.20 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers11 claims11 services$38.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers12 claims12 services$95.22 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims32 services$35.47 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers11 claims66 services$19.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Joyce ***** May 30, 2024

5/5
They are absolutely the best doctors office that I've been to for years the staff is very helpful they listen they're funny and they're nice to talking to Dr Moody is absolutely the best I love all the nurses and the other doctors too I recommend and have this office too other people and I hope they take advantage of it. its worth it for their health and their well-being God bless you Dr Moody
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 16

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

CHANTEL MARIE EVANS-HADLEY
Registered Nurse
805 SIR THOMAS CT
HARRISBURG, PA 17109
Dauphin County (717) 988-0020
DR. DENISE F MONTISANO MD
Family Medicine
805 SIR THOMAS CT, 2ND FLOOR
HARRISBURG, PA 17109
Dauphin County (717) 657-3030
DR. CHARLES D GERLACH M.D.
Internal Medicine
805 SIR THOMAS CT, 1ST FLOOR
HARRISBURG, PA 17109
Dauphin County (717) 988-0020
MISS KORI ANN MORGAN CRNP
Nurse Practitioner (Family)
805 SIR THOMAS CT, FIRST FLOOR
HARRISBURG, PA 17109
Dauphin County (717) 988-0020
TAMARA S MURPHY PA-C
Physician Assistant
805 SIR THOMAS CT, 2ND FLOOR
HARRISBURG, PA 17109
Dauphin County (717) 657-3030
THE ARLINGTON GROUP INC
Orthopaedic Surgery
805 SIR THOMAS CT
HARRISBURG, PA 17109
Dauphin County (717) 652-9555
HAILEY MAYHUE
Pharmacist
805 SIR THOMAS CT
HARRISBURG, PA 17109
Dauphin County (717) 657-3030
PINNACLE HEALTH MEDICAL SERVICES
Family Medicine
805 SIR THOMAS CT, 2ND FLOOR
HARRISBURG, PA 17109
Dauphin County (717) 782-5905

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 Jack Moody's NPI number?

The NPI number for Jack Moody is 1285682609. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Jack Moody located?

Jack Moody practices at 805 Sir Thomas Ct First Floor, Harrisburg, PA 17109. The listed phone number is (717) 988-0020.

What is Jack Moody's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jack Moody enrolled in Medicare?

Yes. Jack Moody is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jack Moody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Moody reassigns Medicare benefits to Pinnacle Health Medical Services (Harrisburg, PA). 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 Jack Moody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jack Moody affiliated with any hospitals?

According to CMS data, Jack Moody is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals, Upmc Memorial and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Jack Moody was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.