CORY ADAM MOOGERFELD (PA-C) – Physician Assistant, NPI 1013660851

CORY ADAM MOOGERFELD (PA-C) is a healthcare provider. based in Lakeland, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9115334 (FL). The NPI Number for CORY ADAM MOOGERFELD (PA-C) is 1013660851

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
CORY ADAM MOOGERFELD (PA-C)
NPI
1013660851
Phone
(863) 687-1250
Address
3030 Harden Blvd
Enumeration Date
1 February 2022
Last Update Date
5 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8636036565
Graduation Year
2021 (5 years ago)
PAC ID
0345635975
Group Practice PAC ID
8325952914
Professional Enrollment ID
I20220318000157
Address ID
FL338051965LA3525XBLVD400

Contacts

Secure Messaging
cmoogerfeld49556@LRHS.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for CORY ADAM MOOGERFELD (PA-C)

  • 3030 Harden Blvd

    Lakeland, FL 338037952

    Phone: (863) 687-1250

    Fax: (863) 687-1258

    Type: Location

  • 17900 WAYSIDE BND

    PUNTA GORDA, FL 339825056

    Phone: (954) 579-6657

    Type: Mailing

  • 1324 LAKELAND HILLS BLVD

    LAKELAND, FL 338054543

    Phone: (863) 687-1100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2023-06-02 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($60).

Total Amount

$60

General + Research + Ownership

Payments

1

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-03-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220318000157IPhysician AssistantFLTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6161$0
View full utilization report →

Insurance plans in this area (ZIP 33803)

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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: 8325952914View full group profile

Reviews

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Frequently asked questions

Is there an official ID for CORY ADAM MOOGERFELD (PA-C) in U.S. healthcare records?
The official identifier for CORY ADAM MOOGERFELD (PA-C) is NPI 1013660851.
Active or inactive — what applies to CORY ADAM MOOGERFELD (PA-C)?
You should see CORY ADAM MOOGERFELD (PA-C) as active in CMS-hosted NPPES data.
What kind of doctor is CORY ADAM MOOGERFELD (PA-C)?
CORY ADAM MOOGERFELD (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is CORY ADAM MOOGERFELD (PA-C) associated with Lakeland?
Public fields place CORY ADAM MOOGERFELD (PA-C) around Lakeland, Florida. Always confirm the exact site before visiting.
Does CORY ADAM MOOGERFELD (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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