DR. MARILYN CAROL MOSS (M.D.) – Family Medicine Physician, NPI 1962405126

DR. MARILYN CAROL MOSS (M.D.) is a healthcare provider. based in Melbourne, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME22466 (FL). The NPI Number for DR. MARILYN CAROL MOSS (M.D.) is 1962405126

Main info

Female
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARILYN CAROL MOSS (M.D.)
NPI
1962405126
Phone
(321) 752-7100
Address
2100 N WICKHAM RD
Enumeration Date
23 May 2005
Last Update Date
20 March 2013

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3217527100
Graduation Year
1973 (53 years ago)
PAC ID
8729143920
Group Practice PAC ID
4385645605
Professional Enrollment ID
I20090224000089
Address ID
FL329358110ME2100XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. MARILYN CAROL MOSS (M.D.)

  • North Wickham Road, Fountainhead North, Melbourne, Brevard County, Florida, 32935, United States of America

    MELBOURNE, FL 329358110

    Phone: (321) 752-7100

    Fax: (321) 752-7105

    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)

CMS reports 44 Open Payments records for all available years, with a total value of $880.

Total Amount is formed as General ($880) + Research ($0) + Ownership ($0) = $880.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alkermes, Inc. ($127).

Total Amount

$880

General + Research + Ownership

Payments

44

Total payment records

General Amount

$880

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2009-02-24

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
I20090224000089IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8237$0
99213Established patient office or other outpatient visit, 20-29 minutes7433$0
36415Insertion of needle into vein for collection of blood sample6927$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1919$0
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage1211$0
View full utilization report →

Insurance plans in this area (ZIP 32935)

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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: 4385645605View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineFL
D E R M A T O L O G YFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MARILYN CAROL MOSS (M.D.)'s NPI?
Yes. DR. MARILYN CAROL MOSS (M.D.) is listed with NPI 1962405126 in the public NPI dataset.
Can I rely on DR. MARILYN CAROL MOSS (M.D.) being an active provider?
As of the registry snapshot, DR. MARILYN CAROL MOSS (M.D.) is marked active.
What is DR. MARILYN CAROL MOSS (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. MARILYN CAROL MOSS (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. MARILYN CAROL MOSS (M.D.) based?
DR. MARILYN CAROL MOSS (M.D.) is tied to Melbourne, Florida in the data we show; additional addresses may exist on the full record.
Why does DR. MARILYN CAROL MOSS (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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