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LISABETH D HOGAN-MOODY PA-C
NPI 1396714242
Physician Assistant in Mansfield, TX

Active since March 14, 2006PECOS Enrolled
2800 E BROAD ST, SUITE 124, MANSFIELD, TX 76063(817) 539-0959(817) 539-0480 Get Directions Write a Review

NPPES record last updated: April 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisabeth D Hogan-moody Pa-c NPPES

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

LISABETH D HOGAN-MOODY PA-C (NPI 1396714242) is an individual physician assistant in Mansfield, Texas, licensed in Texas (PA02623) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396714242
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISABETH D HOGAN-MOODYCredential: PA-C
Location Address2800 E BROAD ST, SUITE 124Mansfield, TX 76063-6409
Mailing Address2800 E Broad St, Suite 124Mansfield, TX 76063-6409 · (817) 539-0959 · Fax (817) 539-0480
Phone(817) 539-0959
Fax(817) 539-0480
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateApril 28, 2014
✔ NPI 1396714242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA02623
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2800 E BROAD ST, Mansfield, TX 76063
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Other Identifiers 2

Medicare UPINP00241TX
Medicare ID-Type Unspecified83N734TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisabeth D Hogan-moody Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,543 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
55%768 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
96%240 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
73%240 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
50%768 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

NEUROLOGY ASSOCIATES OF ARLINGTON, P.A.
Psychiatry & Neurology (Neurology)
2800 E BROAD ST, SUITE 504
MANSFIELD, TX 76063
Tarrant County (817) 225-0410
MAGDALA POON M.D.
Psychiatry & Neurology (Neurology)
2800 E BROAD ST, SUITE 504
MANSFIELD, TX 76063
Tarrant County (817) 225-0410
CENTER FOR SCOLIOSIS AND ADVANCED SPINE SURGERY
Orthopaedic Surgery
2800 E BROAD ST, 512
MANSFIELD, TX 76063
Tarrant County (603) 369-1281
DR. MICHAEL F DUFFY MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2800 E BROAD ST, SUITE 522
MANSFIELD, TX 76063
Tarrant County (682) 518-1215
INTERVENTIONAL REHABILITATION OF TEXAS PA
Pain Medicine (Interventional Pain Medicine)
2800 E BROAD ST, SUITE #318
MANSFIELD, TX 76063
Tarrant County (888) 724-6565
DR. BINNA MANOJKUMAR CHOKSHI M.D.
Internal Medicine (Interventional Cardiology)
2800 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (817) 779-3178
JEANNINE KOAY HOANG M.D.
Dermatology
2800 E BROAD ST, SUITE 124
MANSFIELD, TX 76063
Tarrant County (817) 539-0959
ORTHOTX, PLLC
Durable Medical Equipment & Medical Supplies
2800 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (817) 375-5200

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 Lisabeth Hogan-moody's NPI number?

The NPI number for Lisabeth Hogan-moody is 1396714242. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Lisabeth Hogan-moody located?

Lisabeth Hogan-moody practices at 2800 E Broad St Suite 124, Mansfield, TX 76063. The listed phone number is (817) 539-0959.

What is Lisabeth Hogan-moody's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisabeth Hogan-moody enrolled in Medicare?

Yes. Lisabeth Hogan-moody is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisabeth Hogan-moody was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.