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JONATHAN D MOULDER MD
NPI 1831459890
Family Medicine in Indianapolis, IN

Active since May 24, 2012PECOS EnrolledAccepts Medicare Assignment
1040 WISHARD BLVD, INDIANAPOLIS, IN 46202(317) 962-8893(317) 962-6722 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan D Moulder Md NPPES

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

JONATHAN D MOULDER MD (NPI 1831459890) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01075524A) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Indiana University School Of Medicine (2012).

NPPES Registry Identity

NPI1831459890
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN D MOULDERCredential: MD
Location Address1040 WISHARD BLVDIndianapolis, IN 46202-2872
Mailing Address1040 Wishard BlvdIndianapolis, IN 46202-2872 · (317) 962-8893 · Fax (317) 962-6722
Phone(317) 962-8893
Fax(317) 962-6722
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2012
Enumeration DateMay 24, 2012
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1831459890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01075524A
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.

1040 WISHARD BLVD, Indianapolis, IN 46202
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Other Identifiers 1

Medicaid201093200IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Jonathan D Moulder 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 ID4082850557
PECOS Enrollment IDI20150706001828
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 9

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.

Follow-up hospital inpatient care per day, typically 25 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.
223 services76 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
47 services30 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.
40 services38 patients
Follow-up hospital inpatient care per day, typically 35 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.
32 services19 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services16 patients
Initial hospital inpatient care per day, typically 70 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims14 services$0.89 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$15.26 avg. paid by Medicare
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 suppliers20 claims20 services$63.88 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers21 claims21 services$184.82 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.

DR. TANYA KEZIA DANIELLE WILSON M.D.
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
CAROL LYNN DELLINGER M.D.
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. DANIELA A LOBO M.D.
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. CELIA ROSE MENKE MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-0857
DEANNA R WILLIS MD
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. WADE GARRET KVATUM MD
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. PAUL THOMAS MINGO MD
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. SABRINA L SILVER D.O.
Family Medicine (Sports Medicine)
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893

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 Jonathan Moulder's NPI number?

The NPI number for Jonathan Moulder is 1831459890. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Jonathan Moulder located?

Jonathan Moulder practices at 1040 Wishard Blvd, Indianapolis, IN 46202. The listed phone number is (317) 962-8893.

What is Jonathan Moulder's specialty?

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

Is Jonathan Moulder enrolled in Medicare?

Yes. Jonathan 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 Jonathan Moulder accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Jonathan 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 Jonathan Moulder affiliated with any hospitals?

According to CMS data, Jonathan Moulder is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Jonathan Moulder was last updated on June 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.