TIM I MOOMAW NP
NPI 1386035954
Nurse Practitioner in Gallipolis, OH
About Tim I Moomaw Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIM I MOOMAW NP (NPI 1386035954) is an individual nurse practitioner in Gallipolis, Ohio, licensed in Ohio (COA.17111-NP) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Wooster Community Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Tim I Moomaw Np 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
12Medicare enrollment records show Tim Moomaw reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Vernon, OH 43050
- Reassigned Medicare billing, Ohio enrollment
- 43 clinicians in this Medicare group
Dover, OH 44622
- Reassigned Medicare billing, Ohio enrollment
- 126 clinicians in this Medicare group
Mansfield, OH 44903
- Reassigned Medicare billing, Ohio enrollment
- 125 clinicians in this Medicare group
Wooster, OH 44691
- Reassigned Medicare billing, Ohio enrollment
- 837 clinicians in this Medicare group
Wooster, OH 44691
- Reassigned Medicare billing, Ohio enrollment
- 126 clinicians in this Medicare group
Canton, OH 44708
- Reassigned Medicare billing, Ohio enrollment
- 235 clinicians in this Medicare group
Elyria, OH 44035
- Reassigned Medicare billing, Ohio enrollment
- 251 clinicians in this Medicare group
Parma, OH 44129
- Reassigned Medicare billing, Ohio enrollment
- 237 clinicians in this Medicare group
Avon, OH 44011
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Beachwood, OH 44122
- Reassigned Medicare billing, Ohio enrollment
- 187 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 5
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wooster Community Hospital
Acute Care Hospitals · Wooster, OHCleveland Clinic
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
GALLIPOLIS, OH 45631
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 Tim Moomaw's NPI number?
The NPI number for Tim Moomaw is 1386035954. It was assigned to this individual provider in the NPPES registry on February 18, 2015.
Where is Tim Moomaw located?
Tim Moomaw practices at 100 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (740) 446-5000.
What is Tim Moomaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tim Moomaw enrolled in Medicare?
Yes. Tim Moomaw 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 Tim Moomaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tim Moomaw reassigns Medicare benefits to 12 organizations: Knox Emergency Services, LLC (Mount Vernon, OH), Union Physician Services, LLC (Dover, OH), Mid-Ohio Emergency Group, LLC (Mansfield, OH), Wooster Clinic, LLC (Wooster, OH), Bloomington Medical Services LLC (Wooster, OH) and 7 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 Tim Moomaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tim Moomaw accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare), MedMutual and Molina Healthcare and 3 other insurers list Tim Moomaw 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.
Is Tim Moomaw affiliated with any hospitals?
According to CMS data, Tim Moomaw is affiliated with Wooster Community Hospital and Cleveland Clinic.
When was this NPI record last updated?
The NPPES record for Tim Moomaw was last updated on February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Tim I Moomaw, NP · NPI 1386035954
Nurse Practitioner physician in Gallipolis, Ohio. Individual provider, active in the CMS NPPES registry since February 18, 2015.
## Identity
- **NPI:** 1386035954 (Entity type: Individual)
- **Enumerated:** February 18, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** COA.17111-NP (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 JACKSON PIKE, Gallipolis, OH 45631-1560
- **Phone:** (740) 446-5000
## 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:** 12 organizations under Medicare reassignment (form CMS-855R): Knox Emergency Services, LLC (NPI 1861450066, Mount Vernon, OH); Union Physician Services, LLC (NPI 1215169826, Dover, OH); Mid-Ohio Emergency Group, LLC (NPI 1881164010, Mansfield, OH); Wooster Clinic, LLC (NPI 1033135009, Wooster, OH); Bloomington Medical Services LLC (NPI 1528246683, Wooster, OH); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 18, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1386035954) · Data from the CMS NPPES public registry.