DR. MOSHE MARK DOUGLAS WEXLER (PH.D.) – Clinical Neuropsychologist, NPI 1801858865

DR. MOSHE MARK DOUGLAS WEXLER (PH.D.) is a healthcare provider. based in Pafb, Colorado. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 1445 (SC). The NPI Number for DR. MOSHE MARK DOUGLAS WEXLER (PH.D.) is 1801858865

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOSHE MARK DOUGLAS WEXLER (PH.D.)
NPI
1801858865
Phone
(719) 641-6275
Address
110 W. ENT AVE. BLDG 725
Enumeration Date
5 April 2006
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8435011099
Graduation Year
1993 (33 years ago)
PAC ID
2062794373
Group Practice PAC ID
6204125107
Professional Enrollment ID
I20180320000000
Address ID
SC294643096MO871XXBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

747 CLINICAL PSYCHOLOGIST in CO

Provider Addresses for DR. MOSHE MARK DOUGLAS WEXLER (PH.D.)

  • 110 W. ENT AVE. BLDG 725

    21 MDOS/SGOH

    PAFB, CO 80914

    Phone: (719) 641-6275

    Fax: (719) 556-7399

    Type: Location

  • 586, Observatory Drive, Westside, Colorado Springs, El Paso County, Colorado, 80904, United States

    COLORADO SPRINGS, CO 809043959

    Phone: (719) 641-6275

    Fax: (719) 633-0150

    Type: Mailing

  • PO BOX 751649

    CHARLOTTE, NC 282751649

    Phone: (888) 472-0043

    Type: Mailing

  • 316 CALHOUN ST

    CHARLESTON, SC 294011113

    Phone: (843) 724-3324

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170310000861IClinical PsychologistCOTBD
I20180320000000IClinical PsychologistSCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90791Psychiatric diagnostic evaluation208195$0
96132Evaluation of neuropsychological test, first hour142139$0
90834Psychotherapy, 45 minutes9872$0
View full utilization report →

Insurance plans in this area (ZIP 80914)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204125107View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. MOSHE MARK DOUGLAS WEXLER (PH.D.)?
Save NPI 1801858865 if you need a stable reference for DR. MOSHE MARK DOUGLAS WEXLER (PH.D.).
Is DR. MOSHE MARK DOUGLAS WEXLER (PH.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. MOSHE MARK DOUGLAS WEXLER (PH.D.) treat or focus on?
Patients typically see DR. MOSHE MARK DOUGLAS WEXLER (PH.D.) under the specialty Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MOSHE MARK DOUGLAS WEXLER (PH.D.)?
The page summarizes Pafb, Colorado for DR. MOSHE MARK DOUGLAS WEXLER (PH.D.); expand the address list for detail.
How can I contact DR. MOSHE MARK DOUGLAS WEXLER (PH.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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