MR. ROBERT T MOOSALLY (DO) – Family Medicine Physician, NPI 1013993419
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,673 EMERGENCY MEDICINE in OH
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Provider Addresses for MR. ROBERT T MOOSALLY (DO)
Saint Joseph Cancer Center, 667, Eastland Avenue Southeast, Warren, Trumbull County, Ohio, 44484, United States
WARREN, OH 444844503
Phone: (330) 841-4000
Fax: (330) 841-4007
Type: Location
2537 E MARKET ST
WARREN, OH 444836257
Phone: (330) 656-5911
Fax: (330) 656-5901
Type: Mailing
5700, Darrow Road, Hudson, Summit County, Ohio, 44236, United States
STE 106
HUDSON, OH 442365021
Phone: (330) 656-5911
Fax: (330) 656-5901
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABBVIE INC. ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $23 |
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: 2021-04-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040626000348 | I | Emergency Medicine | OH | TBD |
| I20210407001650 | I | Emergency Medicine | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 175 | 170 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 101 | 94 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 49 | 45 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 25 | 25 | $0 |
Insurance plans in this area (ZIP 44484)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Emergency Medicine | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | PA | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH |
Reviews
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