SCOTT D MOSES – Obstetrics & Gynecology Physician, NPI 1306875653

SCOTT D MOSES is a healthcare provider. based in Chicago, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold a License No. 036091920 (IL). The NPI Number for SCOTT D MOSES is 1306875653

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT D MOSES
NPI
1306875653
Phone
Not provided
Address
680 N LAKE SHORE DR
Enumeration Date
30 June 2006
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8888240200
Graduation Year
1993 (33 years ago)
PAC ID
9335273051
Group Practice PAC ID
7719899426
Professional Enrollment ID
I20100817001129
Address ID
IL606371443CH5841XAVEX400

Contacts

Secure Messaging
smoses221170@uchospital.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,923 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for SCOTT D MOSES

  • 680 North Lake Shore Drive, 680, North Lake Shore Drive, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    SUITE 810

    CHICAGO, IL 606114546

    Phone:

    Type: Mailing

  • 150 HARVESTER DR

    SUITE 300

    BURR RIDGE, IL 605275919

    Phone:

    Type: Mailing

  • 5841 S MARYLAND AVE

    CHICAGO, IL 606371443

    Phone: (888) 824-0200

    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: 2010-08-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100817001129IObstetrics/GynecologyILTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2121$0
99213Established patient office or other outpatient visit, 20-29 minutes1713$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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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: 7719899426View full group profile
NameSpecialtyState
Emergency MedicineIL
N E U R O L O G YIL
General SurgeryIN
Pediatric Medicine, Emergency MedicineIL
-IL
-IL
Cardiovascular Disease (Cardiology)IL
-IL
Nurse PractitionerMI
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Can I verify SCOTT D MOSES with an NPI only?
You can start verification with NPI 1306875653 for SCOTT D MOSES, then check state licensing separately.
Is SCOTT D MOSES listed as active for patients and plans?
The listing shows SCOTT D MOSES as active in the NPI system.
What is SCOTT D MOSES's specialty?
The listing groups SCOTT D MOSES with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What area does SCOTT D MOSES serve?
SCOTT D MOSES's listing highlights Chicago, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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