CHARLES BRUCE JR. MOOMEY (MD) – Vascular Surgery Physician, NPI 1689671364
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
218 VASCULAR SURGERY in GA
Provider Addresses for CHARLES BRUCE JR. MOOMEY (MD)
495 Highway 400
Dahlonega, GA 305336823
Phone: (678) 207-4000
Fax: (770) 531-2435
Type: Location
835 Austin Dr
Demorest, GA 305354513
Phone: (678) 207-4000
Fax: (770) 531-2435
Type: Location
Longstreet Cancer Center, 725, Jesse Jewell Parkway Southeast, Gainesville, Hall County, Georgia, 30501, United States
GAINESVILLE, GA 305013834
Phone: (678) 207-4000
Fax: (770) 531-2435
Type: Location
743 Spring St NE
Gainesville, GA 305013715
Phone: (678) 207-4000
Fax: (770) 531-2435
Type: Location
541 Historic Hwy 441-N
Demorest, GA 305350037
Phone: (678) 207-4000
Fax: (770) 531-2435
Type: Location
801 Austin Dr
Demorest, GA 305354513
Phone: (678) 207-4000
Fax: (770) 531-2435
Type: Location
1270 Friendship Rd
Braselton, GA 305175608
Phone: (678) 207-4000
Fax: (678) 207-4071
Type: Location
1120 Peachtree Industrial Blvd
Suwanee, GA 300242322
Phone: (678) 207-4620
Fax: (678) 207-4307
Type: Location
3620 Howell Ferry Rd
Duluth, GA 300963178
Phone: (678) 207-4000
Fax: (770) 531-2435
Type: Location
1000 Medical Center Blvd
Lawrenceville, GA 300467694
Phone: (678) 207-4000
Fax: (770) 531-2435
Type: Location
316 N Broad St
Winder, GA 306802150
Phone: (678) 207-4000
Fax: (770) 531-2435
Type: Location
631 Professional Dr
Lawrenceville, GA 300463367
Phone: (678) 204-4000
Fax: (678) 207-4307
Type: Location
1400 River Pl
Braselton, GA 305175600
Phone: (678) 207-4000
Fax: (770) 531-2435
Type: Location
PO BOX 658
GAINESVILLE, GA 305030658
Phone: (770) 718-1122
Fax: (770) 533-4786
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 143 Open Payments records for all available years, with a total value of $27,600.
Total Amount is formed as General ($27,600) + Research ($0) + Ownership ($0) = $27,600.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($20,221).
Total Amount
$27,600
General + Research + Ownership
Payments
143
Total payment records
General Amount
$27,600
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $20,221 |
| Penumbra, Inc. | $5,340 |
| Abbott Laboratories | $326 |
| Endologix LLC | $260 |
| Silk Road Medical, Inc. | $252 |
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: 2005-11-09
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 |
|---|---|---|---|---|
| I20051109000841 | I | Vascular Surgery | GA | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,950 | 19 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 181 | 173 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 172 | 163 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 154 | 153 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 145 | 134 | $0 |
Insurance plans in this area (ZIP 30533)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| General Surgery | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| General Practice, Pathology | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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