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AMY ELIZABETH HOGAN-MOULTON MD
NPI 1730177825
Internal Medicine - Nephrology in Glens Falls, NY

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
77.38/100
CMS Quality Rating
2 BROAD STREET PLZ, BROAD STREET MEDICAL GROUP, GLENS FALLS, NY 12801(518) 926-1770(518) 926-1799 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amy Elizabeth Hogan-moulton Md NPPES

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

AMY ELIZABETH HOGAN-MOULTON MD (NPI 1730177825) is an individual nephrology provider in Glens Falls, New York, licensed in New York (210381) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Albany Medical College Of Union University (1993).

NPPES Registry Identity

NPI1730177825
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameAMY ELIZABETH HOGAN-MOULTONCredential: MD
Location Address2 BROAD STREET PLZ, BROAD STREET MEDICAL GROUPGlens Falls, NY 12801-4363
Mailing AddressPo Box 304Glens Falls, NY 12801-0304 · (518) 926-1770 · Fax (518) 926-1799
Phone(518) 926-1770
Fax(518) 926-1799
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1993
Enumeration DateOctober 12, 2005
Last NPPES UpdateJune 5, 2012
✔ NPI 1730177825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 210381
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 210381 (NY)
2 BROAD STREET PLZ, Glens Falls, NY 12801
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Other Identifiers 4

Other390006064NY · Rr Medicare
Medicare PINBB4657NY
Medicare UPING31281
Medicaid01824359NY

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

Amy Elizabeth Hogan-moulton 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 ID3072543610
PECOS Enrollment IDI20050815000213
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 Reassignments

2

Medicare enrollment records show Amy Hogan-moulton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saratoga Regional Medical , P.C
Same address
Nephrology
2 BROAD STREET PLZ
Glens Falls, NY 12801
  • Reassigned Medicare billing, New York enrollment
  • 98 clinicians in this Medicare group
NPI 1982094827 (518) 581-1415
Saratoga Hospital
2.9 mi
Urgent Care
959 STATE ROUTE 9 STE O
Queensbury, NY 12804
  • Reassigned Medicare billing, New York enrollment
  • 456 clinicians in this Medicare group
NPI 1275177321 (518) 223-0155

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 13

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.
440 services340 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
281 services110 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
239 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
227 services91 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
149 services40 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.
122 services113 patients

Hospital Affiliations CMS Care Compare 5

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331302
Location75 Park StreetElizabethtown, NY 12932 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

77.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.97
Promoting Interoperability97
Improvement Activities40
Cost39.16

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
37%123 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
14%70 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
49%100 patients3/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
36%222 patients2/55-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
42%86 patients2/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
21%86 patients1/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%86 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
70%837 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
9%237 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
30%237 patients2/55-star benchmark: 90%
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…
37%375 patients2/55-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
23%362 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 89% · 366 patients
Patients tobacco: 83% · 366 patients
17%29 patients1/55-star benchmark: 98%
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 5

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$67.44 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers29 claims1,210 services$0.30 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers18 claims1,590 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
7 suppliers25 claims25 services$17.46 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers31 claims36 services$11.60 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 20

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

PATRICIA STEFFEN CRNA
Nurse Anesthetist, Certified Registered
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Warren County (518) 793-0519
CINDY CERRO-CONLON M.D.
Anesthesiology
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Warren County (518) 793-0519
ELIZABETH HUTCHINS ANP
Nurse Practitioner (Adult Health)
2 BROAD STREET PLZ, BROAD STREET MEDICAL GROUP
GLENS FALLS, NY 12801
Warren County (518) 926-1770
ROBERT J COLLETTE PT
Physical Therapist
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Warren County (518) 926-2000
DANIEL DRISCOLL CRNA
Nurse Anesthetist, Certified Registered
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Warren County (518) 793-0519
CATHERINE REICHEN PT
Physical Therapist
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Warren County (518) 926-2000
JOANNE DETORE PA
Physician Assistant
2 BROAD STREET PLZ, BROAD STREET MEDICAL GROUP
GLENS FALLS, NY 12801
Warren County (518) 926-1770
LAURA A RHODES PT
Physical Therapist
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Warren County (518) 926-2000

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 Amy Hogan-moulton's NPI number?

The NPI number for Amy Hogan-moulton is 1730177825. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Amy Hogan-moulton located?

Amy Hogan-moulton practices at 2 Broad Street Plz Broad Street Medical Group, Glens Falls, NY 12801. The listed phone number is (518) 926-1770.

What is Amy Hogan-moulton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Amy Hogan-moulton enrolled in Medicare?

Yes. Amy Hogan-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 organizations bill Medicare for Amy Hogan-moulton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Hogan-moulton reassigns Medicare benefits to 2 organizations: Saratoga Regional Medical , P.C (Glens Falls, NY) and Saratoga Hospital (Queensbury, NY). Each 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 Amy Hogan-moulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amy Hogan-moulton affiliated with any hospitals?

According to CMS data, Amy Hogan-moulton is affiliated with Albany Medical Center Hospital, St Peter's Hospital, Glens Falls Hospital, Saratoga Hospital and Elizabethtown Community Hospital.

When was this NPI record last updated?

The NPPES record for Amy Hogan-moulton was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.