MARK MOELLER M.D.
NPI 1457508608
Family Medicine in Davis, CA
About Mark Moeller M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK MOELLER M.D. (NPI 1457508608) is an individual family medicine provider in Davis, California, licensed in California (A106182) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses 2
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
Mark Moeller 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Moeller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mark Moeller's NPI number?
The NPI number for Mark Moeller is 1457508608. It was assigned to this individual provider in the NPPES registry on August 19, 2008.
Where is Mark Moeller located?
Mark Moeller practices at 2020 Sutter Pl Suite 101, Davis, CA 95616. The listed phone number is (530) 750-5830.
What is Mark Moeller's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Moeller enrolled in Medicare?
Yes. Mark Moeller 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 organization bills Medicare for Mark Moeller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Moeller reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The 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 Mark Moeller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Moeller was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mark Moeller, M.D. · NPI 1457508608
Family Medicine physician in Davis, California. Individual provider, active in the CMS NPPES registry since August 19, 2008.
## Identity
- **NPI:** 1457508608 (Entity type: Individual)
- **Enumerated:** August 19, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A106182 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2020 SUTTER PL, SUITE 101, Davis, CA 95616-6213
- **Phone:** (530) 750-5830
## 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:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** December 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1457508608) · Data from the CMS NPPES public registry.