Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SAM MOUSSA
NPI 1396730180
Specialist in Tucson, AZ

Active since September 16, 2005PECOS Enrolled
2585 N WYATT DR, TUCSON, AZ 85712(520) 721-2728(520) 721-0179 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sam Moussa NPPES

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

SAM MOUSSA (NPI 1396730180) is an individual specialist in Tucson, Arizona, licensed in Arizona (19323) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396730180
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSAM MOUSSA
Location Address2585 N WYATT DRTucson, AZ 85712-6104
Mailing Address2585 N Wyatt DrTucson, AZ 85712-6104 · (520) 721-2728 · Fax (520) 721-0179
Fax(520) 721-0179
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1396730180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AZ · 19323
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2585 N WYATT DR, Tucson, AZ 85712

Other Identifiers 1

Medicaid295198AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sam Moussa 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.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

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

Barrett's Esophagus
Percentage of esophageal biopsy reports that document the presence of Barrett's mucosa that also include a statement about dysplasia
97%111 patients
Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
98%120 patients4/55-star benchmark: 100%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
7%522 patients1/55-star benchmark: 100%
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
Percentage of patients aged 18 years and older receiving a surveillance colonoscopy, with a history of a prior adenomatous polyp(s) in previous colonoscopy findings, which had an interval of 3 or more years since their last colonoscopy
79%33 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
48%881 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,300 patients5/55-star benchmark: 100%
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.
54%173 patients2/55-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.
77%175 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…
39%1,158 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
88%128 patients4/55-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…
65%175 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 4

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

Clinic/Center
2585 N WYATT DR
TUCSON, AZ 85712
Clinic/Center (Ambulatory Surgical)
2585 N WYATT DR
TUCSON, AZ 85712
Specialist
2585 N WYATT DR
TUCSON, AZ 85712
Specialist
2585 N WYATT DR
TUCSON, AZ 85712

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 Sam Moussa's NPI number?

The NPI number for Sam Moussa is 1396730180. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Sam Moussa located?

Sam Moussa practices at 2585 N Wyatt Dr, Tucson, AZ 85712. The listed phone number is (520) 721-2728.

What is Sam Moussa's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sam Moussa enrolled in Medicare?

Yes. Sam Moussa is registered in the Medicare PECOS enrollment system.

What insurance does Sam Moussa accept?

Health plans from UnitedHealthcare list Sam Moussa 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.

When was this NPI record last updated?

The NPPES record for Sam Moussa was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.