DR. PETER A MOSBACH (PH.D.) – Health Service Psychologist, NPI 1013904309

DR. PETER A MOSBACH (PH.D.) is a healthcare provider. based in Acton, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 4495 (MA). The NPI Number for DR. PETER A MOSBACH (PH.D.) is 1013904309

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER A MOSBACH (PH.D.)
NPI
1013904309
Phone
(978) 635-0509
Address
468 GREAT RD
Enumeration Date
30 September 2005
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
978635050922
Graduation Year
1987 (39 years ago)
PAC ID
1355306341
Professional Enrollment ID
I20041203000365
Address ID
MA017204187AC468XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. PETER A MOSBACH (PH.D.)

  • Payright Payroll, 468, Great Road, Acton, Middlesex County, Massachusetts, 01718, United States

    ACTON, MA 017204102

    Phone: (978) 635-0509

    Fax: (603) 415-3521

    Mailing address matches the actual address.

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: 2004-12-03

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
I20041203000365IClinical PsychologistMATBD

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
90791Psychiatric diagnostic evaluation150149$0
View full utilization report →

Insurance plans in this area (ZIP 01720)

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Reviews

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Frequently asked questions

What number should I use to identify DR. PETER A MOSBACH (PH.D.) for billing?
Administrative and clinical systems typically use NPI 1013904309 for DR. PETER A MOSBACH (PH.D.).
Is DR. PETER A MOSBACH (PH.D.)'s NPI status active today?
Active status means DR. PETER A MOSBACH (PH.D.)'s NPI record is not deactivated in the public file.
What services align with DR. PETER A MOSBACH (PH.D.)'s listing?
DR. PETER A MOSBACH (PH.D.)'s public classification highlights Health Service Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. PETER A MOSBACH (PH.D.)?
DR. PETER A MOSBACH (PH.D.) is associated with Acton, Massachusetts in the same public data insurers reference.
Who maintains DR. PETER A MOSBACH (PH.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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