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MARLENE S MOULTON M.D.
NPI 1548396047
Internal Medicine in Fort Myers, FL

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
14090 METROPOLIS AVE, SUITE 102, FORT MYERS, FL 33912(239) 985-2600(239) 985-0103 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Marlene S Moulton M.d. NPPES

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

MARLENE S MOULTON M.D. (NPI 1548396047) is an individual internal medicine provider in Fort Myers, Florida, licensed in Florida (ME94816) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Meharry Medical College School Of Medicine (2003).

NPPES Registry Identity

NPI1548396047
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARLENE S MOULTONCredential: M.D.
Location Address14090 METROPOLIS AVE, SUITE 102Fort Myers, FL 33912-4450
Mailing Address13421 Parker Commons Blvd, Ste 101Fort Myers, FL 33912-2076 · (239) 985-2600 · Fax (239) 985-0103
Phone(239) 985-2600
Fax(239) 985-0103
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2003
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJune 2, 2016
✔ NPI 1548396047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME94816
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
14090 METROPOLIS AVE, Fort Myers, FL 33912
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Other Names 1

Professional Name (2)Dr. Marlene St. Joan Moulton M.d.

Other Identifiers 3

Medicare UPINI15048FL
Medicaid01028400FL
Medicaid281398000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

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

Marlene S Moulton 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 ID8628045432
PECOS Enrollment IDI20080808000634
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.

Medicare Billing Reassignment

Medicare enrollment records show Marlene Moulton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Listening Doctor PLLC
2.2 mi
Internal Medicine
13421 PARKER COMMONS BLVD, SUITE 101
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
NPI 1295159952 (239) 985-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.
478 services160 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
103 services16 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
83 services83 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
72 services72 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.
71 services71 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
68 services68 patients

Hospital Affiliations CMS Care Compare 2

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
41%127 patients3/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%112 patients
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
85%568 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
73%831 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
24%234 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
61%1,541 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
27%1,764 patients2/55-star benchmark: 88%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
100%21 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers13 claims41 services$6.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

DR. JOHN HOWARD KELLENBERGER SR. DC
Chiropractor
14090 METROPOLIS AVE, SUITE 101
FORT MYERS, FL 33912
Lee County (239) 489-4100
DR. AUDREY ESHRAT FARAHMAND M.D.
Plastic Surgery
14090 METROPOLIS AVE, SUITE #102
FORT MYERS, FL 33912
Lee County (239) 332-2388
WEST WIND CHIROPRACTIC LLC
Chiropractor
14090 METROPOLIS AVE, STE 101
FORT MYERS, FL 33912
Lee County (239) 431-9432
NATALIE ANNELEE DELONGE D.C.
Chiropractor
14090 METROPOLIS AVE
FORT MYERS, FL 33912
Lee County (239) 489-4100
STEVENS FAMILY CHIROPRACTIC P L
Chiropractor
14090 METROPOLIS AVE, STE 101
FORT MYERS, FL 33912
Lee County (239) 489-4100

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 Marlene Moulton's NPI number?

The NPI number for Marlene Moulton is 1548396047. It was assigned to this individual provider in the NPPES registry on February 26, 2007. The provider is also known as Dr. Marlene St. Joan Moulton M.D..

Where is Marlene Moulton located?

Marlene Moulton practices at 14090 Metropolis Ave Suite 102, Fort Myers, FL 33912. The listed phone number is (239) 985-2600.

What is Marlene Moulton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marlene Moulton enrolled in Medicare?

Yes. Marlene Moulton 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 Marlene Moulton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlene Moulton reassigns Medicare benefits to Listening Doctor PLLC (Fort Myers, FL). 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 Marlene Moulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlene Moulton accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Marlene Moulton 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 Marlene Moulton affiliated with any hospitals?

According to CMS data, Marlene Moulton is affiliated with Lee Memorial Hospital and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Marlene Moulton was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.