DR. MICHAEL JAMES MOFFATT (DO) – Internal Medicine Physician, NPI 1669451936
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
916 INTERNAL MEDICINE in ME
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Provider Addresses for DR. MICHAEL JAMES MOFFATT (DO)
Central Maine Medical Center, 300, Main Street, Lewiston, Androscoggin County, Maine, 04240, United States
LEWISTON, ME 042407027
Phone: (207) 795-7575
Fax: (207) 344-0350
Type: Mailing
1881 SE TIFFANY AVE STE 201
PORT ST LUCIE, FL 349527567
Phone: (772) 335-9600
Type: Mailing
PO BOX 33269
PHOENIX, AZ 850673269
Phone: (024) 064-7866
Fax: (916) 636-4358
Type: Mailing
8609 EVERGREEN WAY
EVERETT, WA 982082619
Phone: (425) 789-3700
Fax: (425) 789-3780
Type: Mailing
4201 RUCKER AVE
EVERETT, WA 982032215
Phone: (425) 382-4004
Fax: (425) 382-4001
Type: Location
8280 W WARM SPRINGS RD
LAS VEGAS, NV 891133612
Phone: (702) 492-8592
Fax: (702) 492-8045
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: 2024-05-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230201003372 | I | Internal Medicine | FL | TBD |
| I20240514000777 | I | Internal Medicine | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04240)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| U R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Family Practice | FL | |
| Family Practice | IN | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| P O D I A T R Y | FL | |
| - | FL |
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