JOHN C MOBLEY (M.D.) – Surgery Physician, NPI 1619059334

JOHN C MOBLEY (M.D.) is a healthcare provider. based in Somerset, Kentucky. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 35068284 (OH). The NPI Number for JOHN C MOBLEY (M.D.) is 1619059334

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
JOHN C MOBLEY (M.D.)
NPI
1619059334
Phone
(606) 676-0455
Address
154 BOGLE OFFICE PARK DR STE A
Enumeration Date
20 October 2006
Last Update Date
23 October 2012

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
2703650308
Graduation Year
1990 (36 years ago)
PAC ID
6305742545
Group Practice PAC ID
0749275014
Professional Enrollment ID
I20111230000127
Address ID
KY424452430PR100XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 GENERAL SURGERY in OH

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Provider Addresses for JOHN C MOBLEY (M.D.)

  • 154 BOGLE OFFICE PARK DR STE A

    SOMERSET, KY 425032810

    Phone: (606) 676-0455

    Fax: (606) 425-4696

    Type: Mailing

  • 404, Wagner Avenue, Greenville, Darke County, Ohio, 45331, United States

    GREENVILLE, OH 453312537

    Phone: (937) 548-8711

    Fax: (937) 548-6724

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-09-13 • Largest payer in this snapshot: ReShape Lifesciences Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-13

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: 2011-12-30

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
I20111230000127IGeneral SurgeryKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes15574$0
99203New patient office or other outpatient visit, 30-44 minutes6363$0
99204New patient office or other outpatient visit, 45-59 minutes4242$0
99214Established patient office or other outpatient visit, 30-39 minutes3327$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3128$0
View full utilization report →

Insurance plans in this area (ZIP 42503)

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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: 0749275014View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Cardiovascular Disease (Cardiology), Internal MedicineKY
-KY
Physician AssistantKY
-KY

Reviews

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Frequently asked questions

What NPI should I save for JOHN C MOBLEY (M.D.)?
Save NPI 1619059334 if you need a stable reference for JOHN C MOBLEY (M.D.).
Is JOHN C MOBLEY (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JOHN C MOBLEY (M.D.) work in?
You can think of JOHN C MOBLEY (M.D.) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JOHN C MOBLEY (M.D.)?
The page summarizes Somerset, Kentucky for JOHN C MOBLEY (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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