Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SPENCER OLE MOEN
NPI 1962963611
Internal Medicine - Pulmonary Disease in Williamsburg, VA

Active since March 26, 2019PECOS Enrolled
95.11/100
CMS Quality Rating
400 SENTARA CIR STE 201A, WILLIAMSBURG, VA 23188(757) 827-2127(757) 827-2255 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spencer Ole Moen NPPES

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

SPENCER OLE MOEN (NPI 1962963611) is an individual pulmonary disease provider in Williamsburg, Virginia, licensed in Virginia (0101276458) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962963611
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSPENCER OLE MOEN
Location Address400 SENTARA CIR STE 201AWilliamsburg, VA 23188-5716
Mailing Address400 Sentara Cir Ste 201aWilliamsburg, VA 23188-5716 · (757) 827-2127 · Fax (757) 827-2255
Fax(757) 827-2255
Sole ProprietorYes
Enumeration DateMarch 26, 2019
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1962963611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in VA · 0101276458
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0101276458 (VA)
400 SENTARA CIR STE 201A, Williamsburg, VA 23188

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Spencer Ole Moen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Critical Care Medicine)
400 SENTARA CIR STE 201A
WILLIAMSBURG, VA 23188
Internal Medicine (Pulmonary Disease)
400 SENTARA CIR STE 201A
WILLIAMSBURG, VA 23188
Internal Medicine (Pulmonary Disease)
400 SENTARA CIR STE 201A
WILLIAMSBURG, VA 23188
Internal Medicine (Critical Care Medicine)
400 SENTARA CIR STE 201A
WILLIAMSBURG, VA 23188
Internal Medicine (Pulmonary Disease)
400 SENTARA CIR STE 201A
WILLIAMSBURG, VA 23188

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 Spencer Moen's NPI number?

The NPI number for Spencer Moen is 1962963611. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Spencer Moen located?

Spencer Moen practices at 400 Sentara Cir Ste 201A, Williamsburg, VA 23188. The listed phone number is (757) 827-2127.

What is Spencer Moen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Spencer Moen enrolled in Medicare?

Yes. Spencer Moen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Spencer Moen was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.