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DR. TODD A MOFFATT M.D.
NPI 1396744512
Surgery in Waco, TX

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
53.84/100
CMS Quality Rating
1000 W HIGHWAY 6, SUITE 410, WACO, TX 76712(254) 230-1234(254) 230-0236 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Todd A Moffatt M.d. NPPES

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

DR. TODD A MOFFATT M.D. (NPI 1396744512) is an individual surgery provider in Waco, Texas, licensed in Texas (J2894) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Baylor College Of Medicine (1991).

NPPES Registry Identity

NPI1396744512
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. TODD A MOFFATTCredential: M.D.
Location Address1000 W HIGHWAY 6, SUITE 410Waco, TX 76712-3786
Mailing Address1000 West Hwy 6, Suite 410Waco, TX 76712 · (254) 230-1234
Phone(254) 230-1234
Fax(254) 230-0236
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1991
Enumeration DateJuly 19, 2005
Last NPPES UpdateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1396744512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · J2894
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1000 W HIGHWAY 6, Waco, TX 76712
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Dr. Todd A Moffatt 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 ID3072600766
PECOS Enrollment IDI20100914000480
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 10

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services45 patients
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.
46 services46 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
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.
17 services14 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

53.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality52.63
Promoting Interoperability58
Improvement Activities0
Cost78.51

Reported Quality Measures

Breast Cancer Screening
1%197 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
1%442 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
99%873 patients4/55-star benchmark: 100%
e-Prescribing
99%188 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%306 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%791 patients1/55-star benchmark: 98%
Provide Patients Electronic Access to Their Health Information
29%932 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 327 patients
Patients totalRate: 0% · 327 patients
0%327 patients5/55-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 2

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

TODD A. MOFFATT, MD, P.A.
Surgery
1000 W HIGHWAY 6, SUITE 400
WACO, TX 76712
McLennan County (254) 744-7881
DR. STACIE L VIRDEN OD
Optometrist
1000 W HIGHWAY 6, SUITE 210
WACO, TX 76712
McLennan County (254) 776-8119

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 Todd Moffatt's NPI number?

The NPI number for Todd Moffatt is 1396744512. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Todd Moffatt located?

Todd Moffatt practices at 1000 W Highway 6 Suite 410, Waco, TX 76712. The listed phone number is (254) 230-1234.

What is Todd Moffatt's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Todd Moffatt enrolled in Medicare?

Yes. Todd Moffatt 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.

What insurance does Todd Moffatt accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Todd Moffatt 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 Todd Moffatt affiliated with any hospitals?

According to CMS data, Todd Moffatt is affiliated with Ascension Providence.

When was this NPI record last updated?

The NPPES record for Todd Moffatt was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.