STACEY EPPERSON MOFFITT (PA) – Surgical Physician Assistant, NPI 1447294582
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
Provider Addresses for STACEY EPPERSON MOFFITT (PA)
701 UNIVERSITY BLVD E STE 606
TUSCALOOSA, AL 354017411
Phone: (205) 752-2501
Fax: (205) 759-5874
Type: Mailing
305 Paul Bryant Dr E
Tuscaloosa, AL 354012094
Phone: (205) 345-0192
Fax: (205) 247-2194
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Medtronic, Inc. ($18).
Total Amount
$33
General + Research + Ownership
Payments
2
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $18 |
| Hologic Sales and Service, LLC | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-01-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110104000168 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 47562 | Removal of gallbladder using an endoscope | 23 | 23 | $0 |
Insurance plans in this area (ZIP 35401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AL | |
| Hematology/Oncology, Internal Medicine | GA | |
| Radiation Oncology | TX | |
| Physician Assistant | AL | |
| Internal Medicine | AL | |
| General Surgery, Emergency Medicine | AL | |
| Physician Assistant | AL | |
| General Surgery | AL | |
| H E M A T O L O G Y/ O N C O L O G Y | AL | |
| Nurse Practitioner | AL |
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