PATRICIA N MOODY (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1033308028

PATRICIA N MOODY (M.D.) is a healthcare provider. based in Lakeland, Florida. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. ME111593 (FL). The NPI Number for PATRICIA N MOODY (M.D.) is 1033308028

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA N MOODY (M.D.)
NPI
1033308028
Phone
(863) 683-7171
Address
1125 BARTOW RD
Enumeration Date
16 October 2007
Last Update Date
18 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9414440011
Graduation Year
2007 (19 years ago)
PAC ID
3072756550
Group Practice PAC ID
3678984937
Professional Enrollment ID
I20130903000062
Address ID
FL328061226OR1131XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Digital endpointsOther names

960 PATHOLOGY in FL

Provider Addresses for PATRICIA N MOODY (M.D.)

  • 1125, Bartow Road, Lakeland, Polk County, Florida, 33801, United States

    LAKELAND, FL 338015852

    Phone: (863) 683-7171

    Type: Mailing

  • 3110 Cherry Palm Dr Ste 340

    Tampa, FL 336198373

    Phone: (813) 932-0374

    Type: Location

  • 1131 S Orange Ave

    Orlando, FL 328061226

    Phone: (941) 444-0011

    Fax: (603) 952-3900

    Type: Location

  • 3110 CHERRY PALM DR STE 340

    TAMPA, FL 336198373

    Phone: (813) 932-0374

    Type: Mailing

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 $248.

Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Novo Nordisk Inc ($125).

Total Amount

$248

General + Research + Ownership

Payments

2

Total payment records

General Amount

$248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-01

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: 2013-09-03

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
I20130903000062IPathologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33801)

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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: 3678984937View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Physician AssistantNY
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Dermatology, PathologyCT
Physician AssistantFL

Reviews

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Frequently asked questions

What unique ID ties claims to PATRICIA N MOODY (M.D.)?
NPI 1033308028 is assigned to PATRICIA N MOODY (M.D.) under the national enumeration system.
Is PATRICIA N MOODY (M.D.) active in the national directory?
PATRICIA N MOODY (M.D.)'s public NPI profile is in an active state.
Can you summarize PATRICIA N MOODY (M.D.)'s specialty in plain language?
Clinically, the directory lists PATRICIA N MOODY (M.D.) with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where is PATRICIA N MOODY (M.D.)'s primary listing?
We display Lakeland, Florida because that is what the record indicates for PATRICIA N MOODY (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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