CLAIRE SUZANNE MOFFITT – Physician Assistant, NPI 1174198741

CLAIRE SUZANNE MOFFITT is a healthcare provider. based in Dodge city, Kansas. specializing in PHYSICIAN ASSISTANT. The NPI Number for CLAIRE SUZANNE MOFFITT is 1174198741

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CLAIRE SUZANNE MOFFITT
NPI
1174198741
Phone
(620) 855-0560
Address
501 EL CORTO ST
Enumeration Date
25 May 2021
Last Update Date
19 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6208854202
Graduation Year
2021 (5 years ago)
PAC ID
9234511890
Group Practice PAC ID
1355252545
Professional Enrollment ID
I20220729001495
Address ID
KS678658511MI222XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for CLAIRE SUZANNE MOFFITT

  • 501 EL CORTO ST

    DODGE CITY, KS 678012805

    Phone: (620) 855-0560

    Type: Mailing

  • 200 W ROSS BLVD

    DODGE CITY, KS 678017221

    Phone: (620) 371-7300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $686.

Total Amount is formed as General ($686) + Research ($0) + Ownership ($0) = $686.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($180).

Total Amount

$686

General + Research + Ownership

Payments

47

Total payment records

General Amount

$686

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2022-07-29

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
I20220729001495IPhysician AssistantKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67801)

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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: 1355252545View full group profile
NameSpecialtyState
Diagnostic RadiologyMT
Family PracticeOK
Certified Registered Nurse Anesthetist (Crna)OK
Diagnostic RadiologyTX
Nurse PractitionerCO
Certified Registered Nurse Anesthetist (Crna)KS
Nurse PractitionerKS
General SurgeryMT
Family PracticeCO
Physician AssistantKS

Reviews

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Frequently asked questions

What number should I use to identify CLAIRE SUZANNE MOFFITT for billing?
Administrative and clinical systems typically use NPI 1174198741 for CLAIRE SUZANNE MOFFITT.
Is CLAIRE SUZANNE MOFFITT's NPI status active today?
Active status means CLAIRE SUZANNE MOFFITT's NPI record is not deactivated in the public file.
What does the directory say CLAIRE SUZANNE MOFFITT does?
Insurance directories may phrase it differently, but here CLAIRE SUZANNE MOFFITT maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to CLAIRE SUZANNE MOFFITT?
The directory associates CLAIRE SUZANNE MOFFITT with Dodge City, Kansas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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