KAREN LIN MOODY (DO) – Family Medicine Physician, NPI 1255485678

KAREN LIN MOODY (DO) is a healthcare provider. based in Ellington, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 2006000672 (MO). The NPI Number for KAREN LIN MOODY (DO) is 1255485678

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
KAREN LIN MOODY (DO)
NPI
1255485678
Phone
(573) 663-2313
Address
PO BOX 157
Enumeration Date
23 January 2007
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
2406933281
Graduation Year
1983 (43 years ago)
PAC ID
2668578121
Group Practice PAC ID
9830540624
Professional Enrollment ID
I20070501000164
Address ID
MO631022731SA401XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

Provider Addresses for KAREN LIN MOODY (DO)

  • PO BOX 157

    ELLINGTON, MO 636380157

    Phone: (573) 663-2313

    Fax: (573) 663-2322

    Type: Mailing

  • 301 NORTH HIGHWAY 21

    PILOT KNOB, MO 63663

    Phone: (573) 546-2000

    Fax: (573) 546-3006

    Type: Location

  • 401 WARREN ST STE 300

    REDWOOD CITY, CA 940631536

    Phone: (240) 693-3281

    Type: Mailing

  • 401 PINE ST # 4025

    SAINT LOUIS, MO 631022731

    Phone: (240) 693-3281

    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: 2025-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20070501000164IFamily PracticeMOTBD
I20251001002930IFamily PracticeOHTBD
I20251003000086IFamily PracticePATBD
I20251014000783IFamily PracticeINTBD

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 63638)

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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: 9830540624View full group profile
NameSpecialtyState
Internal MedicineMO
Family PracticeFL
Family PracticeCA
Family PracticePA
Family PracticeGA
Family PracticeAZ
Family PracticeMN
Emergency MedicineGA
Family PracticeCA
Geriatric Medicine, Family PracticeTX

Reviews

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Frequently asked questions

What identifier follows KAREN LIN MOODY (DO) across health systems?
The NPI 1255485678 uniquely identifies KAREN LIN MOODY (DO) in U.S. healthcare data.
Does the public listing show KAREN LIN MOODY (DO) as active?
KAREN LIN MOODY (DO)'s NPI record reflects an active status in NPPES.
What type of care does KAREN LIN MOODY (DO) provide?
KAREN LIN MOODY (DO)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KAREN LIN MOODY (DO)?
KAREN LIN MOODY (DO) shows a connection to Ellington, Missouri in registry-derived data.
Can I export KAREN LIN MOODY (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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