Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Mary Moyer's specialty?

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

Q: 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 35 days 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 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: August 02, 2026.

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

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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 Cibola General Hospital, 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 CMSOtherGraduated 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, and ordering and referring status from the CMS PECOS system.

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.

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

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

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.

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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.

Is Mary Moyer affiliated with any hospitals?

According to CMS data, Mary Moyer is affiliated with 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 35 days 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.