CANDACE E MOODY (MD) – Surgery Physician, NPI 1609816172

CANDACE E MOODY (MD) is a healthcare provider. based in Marshall, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4301085398 (MI). The NPI Number for CANDACE E MOODY (MD) is 1609816172

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
CANDACE E MOODY (MD)
NPI
1609816172
Phone
(269) 781-4267
Address
215 E Mansion St
Enumeration Date
6 June 2006
Last Update Date
23 June 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4708522301
Graduation Year
1997 (29 years ago)
PAC ID
6800785072
Group Practice PAC ID
7214006816
Professional Enrollment ID
I20211102001505
Address ID
GA302815085ST1133XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,444 GENERAL SURGERY in MI

Provider Addresses for CANDACE E MOODY (MD)

  • 215 E Mansion St

    Suite 3E

    Marshall, MI 490681559

    Phone: (269) 781-4267

    Fax: (269) 781-2710

    Type: Location

  • 215, East Mansion Street, Marshall, Calhoun County, Michigan, 49068, United States

    SUITE 3E

    MARSHALL, MI 490681559

    Phone: (269) 781-4267

    Fax: (269) 781-2710

    Type: Mailing

  • 4200 NORTHSIDE PKWY NW STE 200

    ATLANTA, GA 303273007

    Phone: (404) 448-2725

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $935.

Total Amount is formed as General ($935) + Research ($0) + Ownership ($0) = $935.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($920).

Total Amount

$935

General + Research + Ownership

Payments

7

Total payment records

General Amount

$935

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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: 2022-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20060111000427IGeneral SurgeryMITBD
I20211102001505IGeneral SurgeryGATBD
I20220211001722IGeneral SurgeryALTBD

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 49068)

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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: 7214006816View full group profile
NameSpecialtyState
General SurgeryCA
General SurgeryPA
General SurgeryOK
Vascular Surgery, Thoracic Surgery, General SurgeryMI
General SurgeryMO
Orthopedic SurgeryNY
Physician AssistantVA
Nurse PractitionerMI
Orthopedic SurgeryCA
-CA

Reviews

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Frequently asked questions

What unique ID ties claims to CANDACE E MOODY (MD)?
NPI 1609816172 is assigned to CANDACE E MOODY (MD) under the national enumeration system.
Is CANDACE E MOODY (MD)'s NPI currently valid?
The extract we use shows CANDACE E MOODY (MD) as active.
Can you summarize CANDACE E MOODY (MD)'s specialty in plain language?
Clinically, the directory lists CANDACE E MOODY (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Does CANDACE E MOODY (MD) practice in Michigan?
You will see Marshall, Michigan on file for CANDACE E MOODY (MD) alongside any extra practice locations.
Is CANDACE E MOODY (MD) a real provider?
This page reflects official NPPES data for NPI 1609816172. Always confirm identity and privileges with the practice and licensing boards.

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