BRIAN W MOSS (M.D.) – Emergency Medicine Physician, NPI 1033384201

BRIAN W MOSS (M.D.) is a healthcare provider. based in Boise, Idaho. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. M-10302 (ID). The NPI Number for BRIAN W MOSS (M.D.) is 1033384201

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN W MOSS (M.D.)
NPI
1033384201
Phone
(208) 381-2235
Address
190 E Bannock St
Enumeration Date
28 April 2008
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
9549395000
Graduation Year
2005 (21 years ago)
PAC ID
3476624545
Group Practice PAC ID
4789738360
Professional Enrollment ID
I20120907000672
Address ID
TX775550100GA301XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Digital endpointsOther names

269 EMERGENCY MEDICINE in ID

Provider Addresses for BRIAN W MOSS (M.D.)

  • 190 E Bannock St

    Boise, ID 837126241

    Phone: (208) 381-2235

    Type: Location

  • South Bergman Way, Eagle, Ada County, Idaho, United States

    EAGLE, ID 836164986

    Phone: (208) 949-8857

    Type: Mailing

  • West Valley Medical Center, 1717, Arlington Avenue, Caldwell, Canyon County, Idaho, 83605-5407, United States

    CALDWELL, ID 836054802

    Phone: (208) 459-4641

    Type: Location

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: 2012-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080617000457IEmergency MedicineIDTBD
I20120907000672IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making116115$0
99284Emergency department visit with moderate level of medical decision making5858$0
View full utilization report →

Insurance plans in this area (ZIP 83712)

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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: 4789738360View full group profile
NameSpecialtyState
Emergency MedicineCA
Emergency MedicineMS
Emergency MedicineNY
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineTX
Emergency MedicineAZ
Internal Medicine, Emergency MedicineTX
Emergency MedicineWI
Emergency MedicineGA

Reviews

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Frequently asked questions

What federal number belongs to BRIAN W MOSS (M.D.)?
The federal identifier for BRIAN W MOSS (M.D.) is NPI 1033384201.
Is BRIAN W MOSS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is BRIAN W MOSS (M.D.)?
The page reflects Emergency Medicine Physician for BRIAN W MOSS (M.D.). Clinical services aligned with this taxonomy classification.
Does BRIAN W MOSS (M.D.) practice in Idaho?
You will see Boise, Idaho on file for BRIAN W MOSS (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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