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DR. SHAWN JEFFREY MOULDER D.O.
NPI 1770964496
Surgery in Dearborn, MI

Active since June 18, 2015PECOS EnrolledAccepts Medicare Assignment
18101 OAKWOOD BLVD, DEARBORN, MI 48124(313) 593-7000 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shawn Jeffrey Moulder D.o. NPPES

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

DR. SHAWN JEFFREY MOULDER D.O. (NPI 1770964496) is an individual surgery provider in Dearborn, Michigan, licensed in Michigan (5101022023) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Centerpoint Medical Center, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2015).

NPPES Registry Identity

NPI1770964496
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SHAWN JEFFREY MOULDERCredential: D.O.
Location Address18101 OAKWOOD BLVDDearborn, MI 48124-4089
Mailing Address19756 S Glen Blvd, Apt CBrownstown Twp, MI 48183-4928 · (573) 280-7022
Phone(313) 593-7000
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2015
Enumeration DateJune 18, 2015
✔ NPI 1770964496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 5101022023
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
18101 OAKWOOD BLVD, Dearborn, MI 48124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas.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. Shawn Jeffrey Moulder D.o. 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 ID42620130
PECOS Enrollment IDI20210729002778, I20230323000761, I20250702000422, I20250812003390
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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
63 services60 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.
52 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.
46 services35 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260095
Location19600 East 39th StreetIndependence, MO 64057 · Jackson County
Emergency services Birthing friendly

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450617
Location500 W Medical Center BlvdWebster, TX 77598 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

MEGAN NICOLE SANBORN CRNA
Nurse Anesthetist, Certified Registered
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 436-2374
DR. MATTHEW JOSEPH HUNT DO
Surgery
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 593-7000
OAKWOOD AMBULATORY LLC
Internal Medicine
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 593-7000
MICHAEL KROLL CRNA
Nurse Anesthetist, Certified Registered
18101 OAKWOOD BLVD, ANESTHESIA DEPT
DEARBORN, MI 48124
Wayne County (313) 593-7820
DR. NEHA DESAI PHARM.D.
Pharmacist (Pharmacotherapy)
18101 OAKWOOD BLVD, PHARMACY
DEARBORN, MI 48124
Wayne County (313) 593-7268
DR. ROHAN LALITH DERANIYAGALA M.D.
Radiology (Radiation Oncology)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (248) 551-5490
KIA SWEENEY
Psychiatry & Neurology (Psychiatry)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (947) 522-3088
JESSICA FLINT MD
Obstetrics & Gynecology
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 436-2582

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 Shawn Moulder's NPI number?

The NPI number for Shawn Moulder is 1770964496. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Where is Shawn Moulder located?

Shawn Moulder practices at 18101 Oakwood Blvd, Dearborn, MI 48124. The listed phone number is (313) 593-7000.

What is Shawn Moulder's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shawn Moulder enrolled in Medicare?

Yes. Shawn Moulder 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 Shawn Moulder accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Texas list Shawn Moulder 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 Shawn Moulder affiliated with any hospitals?

According to CMS data, Shawn Moulder is affiliated with Centerpoint Medical Center, Hca Houston Healthcare Clear Lake and Houston Methodist Clear Lake Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Moulder was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.