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MARY E MOYER M.D.
NPI 1356450043
Family Medicine in Acoma, NM

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
80 B VETERANS BLVD, ACOMA, NM 87034(505) 552-5385(505) 552-5828 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2024, Jan 5, 2023, Oct 16, 2018 (3 updates tracked since 2018).

About Mary E Moyer M.d. NPPES

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

MARY E MOYER M.D. (NPI 1356450043) is an individual family medicine provider in Acoma, New Mexico, licensed in Arizona (19675) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Clearwater Valley Hospital & Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356450043
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY E MOYERCredential: M.D.
Location Address80 B VETERANS BLVDAcoma, NM 87034
Mailing AddressPo Box 130San Fidel, NM 87049-0130 · (505) 552-5385 · Fax (505) 552-5828
Phone(505) 552-5385
Fax(505) 552-5828
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1983
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 2, 20263 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1356450043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · 19675✔ Licensed in ID · 1581016
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
80 B VETERANS BLVD, Acoma, NM 87034
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Secondary Practice Locations 2

Location 1518 Oak StKamiah, ID 83536-6094 · Phone (208) 935-2585 · Fax (208) 962-2313
Location 2301 Cedar StOrofino, ID 83544-9029 · Phone (208) 476-5777 · Fax (208) 476-5385

Other Identifiers 1

MedicaidH3451NM

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

Mary E Moyer M.d. 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 ID4284673849
PECOS Enrollment IDI20250107002635
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 Reassignments

3

Medicare enrollment records show Mary Moyer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Haaku Health
Same address
Health Service
80 B VETERANS BLVD
San Fidel, NM 87049
  • Reassigned Medicare billing, Texas enrollment
  • 22 clinicians in this Medicare group
NPI 1962384438 (505) 280-7200
St. Mary's Hospital Inc
886 mi
Family Medicine
617 W NORTH ST
Grangeville, ID 83530
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: St Marys Hospital Inc
  • Also billed through NPI 1174577100 (Idaho)
  • 95 clinicians in this Medicare group
NPI 1710203237 (208) 962-3267
Clearwater Valley Hospital & Clinics Inc.
909 mi
Family Medicine
301 CEDAR ST
Orofino, ID 83544
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1033153739 (Idaho)
  • 89 clinicians in this Medicare group
NPI 1073551396 (208) 476-4555

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

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 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.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Clearwater Valley Hospital & Clinics

Critical Access Hospitals · Orofino, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131320
Location301 Cedar StreetOrofino, ID 83544 · Clearwater County
Emergency services

St Marys Hospital And Clinics

Critical Access Hospitals · Cottonwood, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131321
Location701 Lewiston StCottonwood, ID 83522 · Idaho County
Emergency services

Cibola General Hospital

Critical Access Hospitals · Grants, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321308
Location1016 E Roosevelt AvenueGrants, NM 87020 · Cibola County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87034 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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. GEORGE R KIRACOFE M.D.
Family Medicine
80 B VETERANS BLVD, I-40, EXIT 102
ACOMA, NM 87034
Cibola County (505) 552-5300
MS. HLENGIWE LINDANI SIBANDA FNP
Nurse Practitioner (Family)
80 B VETERANS BLVD
ACOMA, NM 87034
Cibola County (505) 552-5300
MICHELLE F DUBUISSON FNP-C
Nurse Practitioner (Family)
80 B VETERANS BLVD
ACOMA, NM 87034
Cibola County (505) 552-5300
DR. RYAN HODNICK DO
Emergency Medicine
80 B VETERANS BLVD
PUEBLO OF ACOMA, NM 87034
Cibola County (505) 552-5300
BRADLEY A WALKER MD
Emergency Medicine
80 B VETERANS BLVD
ACOMA, NM 87034
Cibola County (505) 552-5300
DR. RICHARD M KAUT MD
Emergency Medicine
80 B VETERANS BLVD
ACOMA, NM 87034
Cibola County (505) 552-5300
PATRICIA A MONROE CNP
Nurse Practitioner (Family)
80 B VETERANS BLVD
ACOMA, NM 87034
Cibola County (505) 552-5300
DEAN H HATTAN OD
Optometrist
80 B VETERANS BLVD, I-40, EXIT 102
ACOMA, NM 87034
Cibola County (505) 552-5300

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 Mary Moyer's NPI number?

The NPI number for Mary Moyer is 1356450043. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Mary Moyer located?

Mary Moyer practices at 80 B Veterans Blvd, Acoma, NM 87034. The listed phone number is (505) 552-5385.

What is Mary Moyer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Moyer enrolled in Medicare?

Yes. Mary Moyer 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 Mary Moyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Moyer reassigns Medicare benefits to 3 organizations: Haaku Health (San Fidel, NM), St. Mary's Hospital Inc (Grangeville, ID) and Clearwater Valley Hospital & Clinics Inc. (Orofino, ID). 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 Mary Moyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mary Moyer affiliated with any hospitals?

According to CMS data, Mary Moyer is affiliated with Clearwater Valley Hospital & Clinics, St Marys Hospital And Clinics and Cibola General Hospital.

When was this NPI record last updated?

The NPPES record for Mary Moyer was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.