JOHN A MOODY DDS
NPI 1457411522
Dentist - General Practice in Rockford, IL

Active since December 11, 2006PECOS Enrolled
4040 MORSAY DR, ROCKFORD, IL 61107(815) 399-0866(815) 399-0895 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John A Moody Dds NPPES

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

JOHN A MOODY DDS (NPI 1457411522) is an individual general practice provider in Rockford, Illinois, licensed in Illinois (19024011) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457411522
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN A MOODYCredential: DDS
Location Address4040 MORSAY DRRockford, IL 61107-4851
Mailing Address10121 Briarwood CtBelvidere, IL 61008-8581 · (815) 871-9545
Fax(815) 399-0895
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1457411522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 19024011
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4040 MORSAY DR, Rockford, IL 61107

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)

John A Moody Dds 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 61107 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 6

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

Dentist
4040 MORSAY DR
ROCKFORD, IL 61107
Dentist
4040 MORSAY DR
ROCKFORD, IL 61107
Dentist (General Practice)
4040 MORSAY DR
ROCKFORD, IL 61107
Dentist (General Practice)
4040 MORSAY DR
ROCKFORD, IL 61107
Dentist (General Practice)
4040 MORSAY DR
ROCKFORD, IL 61107
Dentist (General Practice)
4040 MORSAY DR
ROCKFORD, IL 61107

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 John Moody's NPI number?

The NPI number for John Moody is 1457411522. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is John Moody located?

John Moody practices at 4040 Morsay Dr, Rockford, IL 61107. The listed phone number is (815) 399-0866.

What is John Moody's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Moody enrolled in Medicare?

Yes. John Moody is registered in the Medicare PECOS enrollment system.

What insurance does John Moody accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list John Moody 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 John Moody was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.