SUSAN C MORENO D.O.
NPI 1891906491
Family Medicine in Dallas, TX

Q: What is Susan Moreno's NPI number?

The NPI number for Susan Moreno is 1891906491. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Susan Moreno's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Moreno was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment

5315 ROSS AVE, DALLAS, TX 75206(214) 826-2151(214) 826-2196 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2020, Oct 1, 2016 (2 updates tracked since 2016).

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About Susan C Moreno D.o. NPPES

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

SUSAN C MORENO D.O. (NPI 1891906491) is an individual family medicine provider in Dallas, Texas, licensed in Texas (L9375) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1891906491

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSUSAN C MORENOCredential: D.O.

Location Address5315 ROSS AVEDallas, TX 75206-7418

Mailing Address5315 Ross AveDallas, TX 75206-7418 · (214) 826-2151 · Fax (214) 268-2196

Phone(214) 826-2151

Fax(214) 826-2196

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateMay 24, 2007

Last NPPES UpdateApril 7, 20202 updates tracked since enumeration

NPPES CertifiedApril 7, 2020

✔ NPI 1891906491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · L9375

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.

5315 ROSS AVE, Dallas, TX 75206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Susan C Moreno 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 ID42350894

PECOS Enrollment IDI20091229000612

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 Susan Moreno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ronald N Skufca Do PA

Same address

Family Medicine

5315 ROSS AVE
Dallas, TX 75206

Reassigned Medicare billing, Texas enrollment
23 clinicians in this Medicare group

NPI 1558433250 (214) 826-2151

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75206 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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

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

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

1 supplier11 claims11 services$168.18 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.

MARIA LILIAN LEON M.D

Pediatrics