JESSE ALAN MOONEYHAM MD
NPI 1508448887
Family Medicine in Austin, TX

Active since April 26, 2021PECOS EnrolledAccepts Medicare Assignment
500 CANYON RIDGE DR, AUSTIN, TX 78753(512) 654-7800 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, Apr 26, 2021 (2 updates tracked since 2021).

About Jesse Alan Mooneyham Md NPPES

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

JESSE ALAN MOONEYHAM MD (NPI 1508448887) is an individual family medicine provider in Austin, Texas, licensed in Texas (U5172) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Round Rock, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2021).

NPPES Registry Identity

NPI1508448887
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJESSE ALAN MOONEYHAMCredential: MD
Location Address500 CANYON RIDGE DRAustin, TX 78753-1632
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2021
Enumeration DateApril 26, 2021
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
NPI 1508448887 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 TX · U5172
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.

500 CANYON RIDGE DR, Austin, TX 78753

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 and accepts Medicare assignment

Jesse Alan Mooneyham Md 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 ID2365841947
PECOS Enrollment IDI20240515002622
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.

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.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78753 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Pharmacist
500 CANYON RIDGE DR
AUSTIN, TX 78753
Nurse Practitioner (Family)
500 CANYON RIDGE DR
AUSTIN, TX 78753
Physical Therapist
500 CANYON RIDGE DR, SUITE B-150
AUSTIN, TX 78753
Pharmacist
500 CANYON RIDGE DR
AUSTIN, TX 78753
Nurse Practitioner (Family)
500 CANYON RIDGE DR, SUITE J350
AUSTIN, TX 78753
Pharmacist
500 CANYON RIDGE DR
AUSTIN, TX 78753
Pharmacy Technician
500 CANYON RIDGE DR
AUSTIN, TX 78753
Pharmacist
500 CANYON RIDGE DR
AUSTIN, TX 78753

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 Jesse Mooneyham's NPI number?

The NPI number for Jesse Mooneyham is 1508448887. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Jesse Mooneyham located?

Jesse Mooneyham practices at 500 Canyon Ridge Dr, Austin, TX 78753. The listed phone number is (512) 654-7800.

What is Jesse Mooneyham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jesse Mooneyham enrolled in Medicare?

Yes. Jesse Mooneyham 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 Jesse Mooneyham accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Jesse Mooneyham 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 Jesse Mooneyham affiliated with any hospitals?

According to CMS data, Jesse Mooneyham is affiliated with Baylor Scott & White Medical Center - Round Rock.

When was this NPI record last updated?

The NPPES record for Jesse Mooneyham was last updated on September 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.