Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SUSAN ELLEN MOYNIHAN MD
NPI 1912953605
Internal Medicine in Marblehead, MA

Active since May 25, 2006PECOS Enrolled
1 WIDGER RD, SUITE 201, MARBLEHEAD, MA 01945(781) 631-1415(781) 631-5175 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Ellen Moynihan Md NPPES

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

SUSAN ELLEN MOYNIHAN MD (NPI 1912953605) is an individual internal medicine provider in Marblehead, Massachusetts, licensed in Massachusetts (52866) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Stanford University School Of Medicine (1982).

NPPES Registry Identity

NPI1912953605
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUSAN ELLEN MOYNIHANCredential: MD
Location Address1 WIDGER RD, SUITE 201Marblehead, MA 01945
Mailing AddressPo Box 930Salem, MA 01970 · (978) 825-6581 · Fax (978) 825-7070
Fax(781) 631-5175
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1982
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1912953605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 52866
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1 WIDGER RD, Marblehead, MA 01945

Other Identifiers 1

Medicaid6190774MA

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

Susan Ellen Moynihan 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 ID7517913346
PECOS Enrollment IDI20050324000889
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.

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.
85 services81 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
60 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01945 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

Physical Therapist
1 WIDGER RD
MARBLEHEAD, MA 01945
Physical Therapist
1 WIDGER RD
MARBLEHEAD, MA 01945
Physical Therapist
1 WIDGER RD
MARBLEHEAD, MA 01945
Social Worker (Clinical)
1 WIDGER RD, SUITE 305
MARBLEHEAD, MA 01945
Physical Therapist
1 WIDGER RD
MARBLEHEAD, MA 01945
Psychologist
1 WIDGER RD, SUITE 305
MARBLEHEAD, MA 01945
Nurse Practitioner
1 WIDGER RD
MARBLEHEAD, MA 01945
Internal Medicine
1 WIDGER RD
MARBLEHEAD, MA 01945

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 Susan Moynihan's NPI number?

The NPI number for Susan Moynihan is 1912953605. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Susan Moynihan located?

Susan Moynihan practices at 1 Widger Rd Suite 201, Marblehead, MA 01945. The listed phone number is (781) 631-1415.

What is Susan Moynihan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Susan Moynihan enrolled in Medicare?

Yes. Susan Moynihan 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.

Is Susan Moynihan affiliated with any hospitals?

According to CMS data, Susan Moynihan is affiliated with North Shore Medical Center -.

When was this NPI record last updated?

The NPPES record for Susan Moynihan was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.