MOUDAR ALSHAZLEY (MD) – Emergency Medicine Physician, NPI 1205887213
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,232 EMERGENCY MEDICINE in FL
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Provider Addresses for MOUDAR ALSHAZLEY (MD)
4225, Woodbine Road, Pace, Santa Rosa County, Florida, 32571, United States
SUITE A
PACE, FL 325718790
Phone: (850) 994-6575
Fax: (850) 994-5643
Mailing address matches the actual address.
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: 2004-12-17
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 |
|---|---|---|---|---|
| I20041217000550 | I | Emergency Medicine | FL | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 477 | 175 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 237 | 216 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 228 | 221 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 209 | 202 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 129 | 121 | $0 |
Insurance plans in this area (ZIP 32571)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | FL | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 19 | 18 |
| EMERGENCY MEDICINE | FL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 772 | 679 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Internal Medicine | AL | |
| Emergency Medicine, Internal Medicine | MS | |
| Emergency Medicine, Family Practice | OH | |
| Nurse Practitioner | VA | |
| Internal Medicine, Emergency Medicine | MS | |
| Emergency Medicine | NJ | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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