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MARK MOELLER M.D.
NPI 1457508608
Family Medicine in Davis, CA

Active since August 19, 2008PECOS EnrolledAccepts Medicare Assignment
2020 SUTTER PL, SUITE 101, DAVIS, CA 95616(530) 750-5830 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1457508608
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK MOELLERCredential: M.D.
Location Address2020 SUTTER PL, SUITE 101Davis, CA 95616-6213
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071
Phone(530) 750-5830
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2007
Enumeration DateAugust 19, 2008
Last NPPES UpdateDecember 22, 2021
✔ NPI 1457508608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A106182
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2020 SUTTER PL, Davis, CA 95616
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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

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.

PECOS PAC ID1658423926
PECOS Enrollment IDI20090716000693
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 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.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
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 20

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

ALICE M VAN ALSTINE MD
Family Medicine
2020 SUTTER PL, #101
DAVIS, CA 95616
Yolo County (530) 750-5900
SCOTT MCINTOSH PORTER M.D.
Orthopaedic Surgery
2020 SUTTER PL, SUITE 104
DAVIS, CA 95616
Yolo County (530) 750-5900
DR. BETHELEN J JOHNSON M.D.
Obstetrics & Gynecology
2020 SUTTER PL, #203
DAVIS, CA 95616
Yolo County (530) 750-5880
ARFAN DIN DO
Family Medicine
2020 SUTTER PL, #101
DAVIS, CA 95616
Yolo County (530) 750-5900
ANNE MARIE BISSON PA
Physician Assistant
2020 SUTTER PL, SUITE 100
DAVIS, CA 95616
Yolo County (530) 750-5830
JAMES W. EUSEBIO M.D.
Pediatrics
2020 SUTTER PL, SUITE 201
DAVIS, CA 95616
Yolo County (530) 750-5959
JESSICA LYNN WITTY NAGEL CNM
Advanced Practice Midwife
2020 SUTTER PL, SUITE 203
DAVIS, CA 95616
Yolo County (530) 750-5880
DR. JUSTINE NATASHA LAUBLY M.D.
Family Medicine
2020 SUTTER PL, STE. 101
DAVIS, CA 95616
Yolo County (530) 750-5900

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.

When was this NPI record last updated?

The NPPES record for Mark Moeller was last updated on December 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.