JASON FONDREN MOSS (DO) – Infectious Disease Physician, NPI 1235558149

JASON FONDREN MOSS (DO) is a healthcare provider. based in Hattiesburg, Mississippi. specializing in INFECTIOUS DISEASE. They hold the professional credentials DO. They hold a License No. 04083 (KY). The NPI Number for JASON FONDREN MOSS (DO) is 1235558149

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JASON FONDREN MOSS (DO)
NPI
1235558149
Phone
(601) 579-5444
Address
4 MEDICAL BLVD
Enumeration Date
8 April 2014
Last Update Date
1 March 2019

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
6015458700
Graduation Year
2014 (12 years ago)
PAC ID
2567735939
Group Practice PAC ID
2466342605
Professional Enrollment ID
I20190809002220
Address ID
MS394018382HA68XXXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

48 INFECTIOUS DISEASE in MS

Provider Addresses for JASON FONDREN MOSS (DO)

  • 4 MEDICAL BLVD

    HATTIESBURG, MS 39401

    Phone: (601) 579-5444

    Fax: (601) 579-3083

    Type: Location

  • University Of Kentucky 800 Rose St

    Lexington, KY 405363902

    Phone: (859) 323-2636

    Type: Location

  • 415 S 28TH AVE

    HATTIESBURG, MS 394017246

    Phone: (601) 579-5444

    Fax: (601) 579-5240

    Type: Mailing

  • 900 8th Ave

    Fort Worth, TX 761043902

    Phone: (817) 877-5295

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $591.

Total Amount is formed as General ($591) + Research ($0) + Ownership ($0) = $591.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($166).

Total Amount

$591

General + Research + Ownership

Payments

32

Total payment records

General Amount

$591

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2019-08-09

PECOS data refreshed: 2026-06-15

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
I20190809002220IInfectious DiseaseMSTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes515180$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes210182$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes17488$0
99213Established patient office or other outpatient visit, 20-29 minutes14563$0
36415Insertion of needle into vein for collection of blood sample7030$0
View full utilization report →

Insurance plans in this area (ZIP 39401)

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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: 2466342605View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Internal MedicineMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Internal MedicineMS
Nurse PractitionerMS
-MS

Reviews

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Frequently asked questions

What NPI should I save for JASON FONDREN MOSS (DO)?
Save NPI 1235558149 if you need a stable reference for JASON FONDREN MOSS (DO).
Does this profile mean JASON FONDREN MOSS (DO) is currently active?
Yes — JASON FONDREN MOSS (DO) appears active in the national provider directory.
What kind of provider is JASON FONDREN MOSS (DO)?
The page reflects Infectious Disease Physician for JASON FONDREN MOSS (DO). Clinical services aligned with this taxonomy classification.
What location shows for JASON FONDREN MOSS (DO)?
We surface Hattiesburg, Mississippi for JASON FONDREN MOSS (DO) based on available NPPES addresses.
What if Hattiesburg, Mississippi seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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