DR. GARY A. MOODY (M.D.) – Family Medicine Physician, NPI 1356310148

DR. GARY A. MOODY (M.D.) is a healthcare provider. based in Hastings, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 22698 (MN). The NPI Number for DR. GARY A. MOODY (M.D.) is 1356310148

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY A. MOODY (M.D.)
NPI
1356310148
Phone
(651) 480-4200
Address
1285 NININGER RD
Enumeration Date
15 March 2006
Last Update Date
30 July 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6514068860
Graduation Year
1975 (51 years ago)
PAC ID
6406741495
Group Practice PAC ID
7113830142
Professional Enrollment ID
I20041006000881
Address ID
MN551217707EA3305XDRXX504
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for DR. GARY A. MOODY (M.D.)

  • Regina Medical Clinic, 1285, Nininger Road, Hastings, Dakota County, Minnesota, 55033, United States

    HASTINGS, MN 550331086

    Phone: (651) 480-4200

    Fax: (651) 480-4306

    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: 2004-10-06

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
I20041006000881IFamily PracticeMNTBD

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 minutes120117$0
99214Established patient office or other outpatient visit, 30-39 minutes6463$0
36415Insertion of needle into vein for collection of blood sample3027$0
81001Manual urinalysis test with examination using microscope, automated1717$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1515$0
View full utilization report →

Insurance plans in this area (ZIP 55033)

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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: 7113830142View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. GARY A. MOODY (M.D.)?
NPI 1356310148 is assigned to DR. GARY A. MOODY (M.D.) under the national enumeration system.
Does this profile mean DR. GARY A. MOODY (M.D.) is currently active?
Yes — DR. GARY A. MOODY (M.D.) appears active in the national provider directory.
What kind of provider is DR. GARY A. MOODY (M.D.)?
The page reflects Family Medicine Physician for DR. GARY A. MOODY (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. GARY A. MOODY (M.D.)?
We surface Hastings, Minnesota for DR. GARY A. MOODY (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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