DR. ROY J. MOEN M.D.
NPI 1528092772
Family Medicine in Bismarck, ND

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
83.98/100
CMS Quality Rating
300 N 7TH ST, BISMARCK, ND 58501(701) 323-6000(701) 323-5918 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2025, Jan 7, 2025, May 20, 2019 (3 updates tracked since 2019).

About Dr. Roy J. Moen M.d. NPPES

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

DR. ROY J. MOEN M.D. (NPI 1528092772) is an individual family medicine provider in Bismarck, North Dakota, licensed in North Dakota (8772) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and is a graduate of University Of North Dakota School Of Medicine (2000).

NPPES Registry Identity

NPI1528092772
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROY J. MOENCredential: M.D.
Location Address300 N 7TH STBismarck, ND 58501-4439
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Fax(701) 323-5918
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2000
Enumeration DateJuly 11, 2006
Last NPPES UpdateFebruary 25, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
NPI 1528092772 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 ND · 8772
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 ListedEmergency MedicineTaxonomy 207P00000X · License 8772 (ND)
300 N 7TH ST, Bismarck, ND 58501

Other Names 1

Professional Name (2)Dr. R. J. Moen M.d.

Other Identifiers 3

Medicaid0144636MT
Medicaid11585ND
Other25718ND · Blue Cross Of Nd

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

Dr. Roy J. Moen 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 ID5597662940
PECOS Enrollment IDI20031215000744
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 3

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.
238 services152 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.
219 services165 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Linton Hospital - Cah

Critical Access Hospitals · Linton, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351328
Location111 Elm Ave WLinton, ND 58552 · Emmons County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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 $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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.

83.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability99
Improvement Activities40
Cost68.15

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.

Occupational Therapist
300 N 7TH ST
BISMARCK, ND 58501
Emergency Medicine
300 N 7TH ST
BISMARCK, ND 58501
Nurse Anesthetist, Certified Registered
300 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner
300 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner (Gerontology)
300 N 7TH ST
BISMARCK, ND 58501
Pharmacist
300 N 7TH ST
BISMARCK, ND 58501
Physical Therapist
300 N 7TH ST
BISMARCK, ND 58501
Hospitalist
300 N 7TH ST
BISMARCK, ND 58501

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 Roy Moen's NPI number?

The NPI number for Roy Moen is 1528092772. It was assigned to this individual provider in the NPPES registry on July 11, 2006. The provider is also known as Dr. R. J. Moen M.D..

Where is Roy Moen located?

Roy Moen practices at 300 N 7th St, Bismarck, ND 58501. The listed phone number is (701) 323-6000.

What is Roy Moen's specialty?

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

Is Roy Moen enrolled in Medicare?

Yes. Roy Moen 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 Roy Moen accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Roy Moen 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 Roy Moen affiliated with any hospitals?

According to CMS data, Roy Moen is affiliated with Sanford Medical Center Bismarck and Linton Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Roy Moen was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.