DR. ANTHONY LE ROY MOULTON MD
NPI 1689695736
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Providence, RI

Q: What is Anthony Moulton's NPI number?

The NPI number for Anthony Moulton is 1689695736. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Q: What is Anthony Moulton's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Moulton was last updated on November 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 22, 2006PECOS Enrolled

1 RANDALL SQ, STE 414, PROVIDENCE, RI 02904(401) 331-4175(401) 331-5718 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Anthony Le Roy Moulton Md NPPES

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

DR. ANTHONY LE ROY MOULTON MD (NPI 1689695736) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Providence, Rhode Island, licensed in Rhode Island (079657) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689695736

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. ANTHONY LE ROY MOULTONCredential: MD

Location Address1 RANDALL SQ, STE 414Providence, RI 02904-2709

Mailing Address1 Randall Sq, Ste 414Providence, RI 02904-2709 · (401) 331-4175 · Fax (401) 331-5718

Phone(401) 331-4175

Fax(401) 331-5718

Sole ProprietorYes

Enumeration DateJuly 22, 2006

Last NPPES UpdateNovember 27, 2007

✔ NPI 1689695736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in RI · 079657

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1 RANDALL SQ, Providence, RI 02904

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Other Identifiers 2

Medicare UPINB68017

Medicaid9020315RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Le Roy Moulton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02904 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

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

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

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…

100%60 patients5/55-star benchmark: 100%

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.

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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.

PHINA A MAYU NP

Nurse Practitioner (Adult Health)

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

MAYELIN PACHECO NUNEZ NP

Nurse Practitioner (Family)

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

STANLEY H. BLOCK MD

Allergy & Immunology

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 444-0414

DR. JAMES J YASHAR M.D

Specialist

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (140) 196-5777

THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC

Clinic/Center (Federally Qualified Health Center (FQHC))

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

PAUL W WEHBE MD

Pediatrics

1 RANDALL SQ, SUITE 404-406
PROVIDENCE, RI 02904

Providence County (401) 861-5183

CARDIOLOGY CONSULTANTS, LLC

Internal Medicine (Cardiovascular Disease)

1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904

Providence County (401) 223-0223

BRIANA J. WALSH NP

Nurse Practitioner (Family)

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

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 Anthony Moulton's NPI number?

The NPI number for Anthony Moulton is 1689695736. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Anthony Moulton located?

Anthony Moulton practices at 1 Randall Sq Ste 414, Providence, RI 02904. The listed phone number is (401) 331-4175.

What is Anthony Moulton's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Anthony Moulton enrolled in Medicare?

Yes. Anthony Moulton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Moulton was last updated on November 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.