JONATHAN S. MOULTON (MD) – Neuroradiology Physician, NPI 1457391526

JONATHAN S. MOULTON (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 35-05-1867-M (OH). The NPI Number for JONATHAN S. MOULTON (MD) is 1457391526

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN S. MOULTON (MD)
NPI
1457391526
Phone
(513) 245-3107
Address
PO BOX 636256 CENTRAL CREDENTIALING
Enumeration Date
7 June 2006
Last Update Date
20 February 2018

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5135841000
Graduation Year
1982 (44 years ago)
PAC ID
0042116022
Group Practice PAC ID
2264344480
Professional Enrollment ID
I20031210000555
Address ID
OH452192369CI3188XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,804 DIAGNOSTIC RADIOLOGY in OH

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Provider Addresses for JONATHAN S. MOULTON (MD)

  • PO BOX 636256 CENTRAL CREDENTIALING

    CINCINNATI, OH 452636256

    Phone: (513) 245-3107

    Fax: (513) 585-5511

    Type: Mailing

  • University of Cincinnati Medical Center, 234, Goodman Street, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45219-2364, United States

    CINCINNATI, OH 452192364

    Phone: (513) 584-7355

    Fax: (513) 584-0431

    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: 2012-04-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031210000555IDiagnostic RadiologyOHTBD
I20120411000695IDiagnostic RadiologyKYTBD

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
71045X-ray of chest, 1 view604407$0
74177Ct scan of abdomen and pelvis with contrast395354$0
74018X-ray of abdomen, 1 view146127$0
74176Ct scan of abdomen and pelvis without contrast133130$0
71046X-ray of chest, 2 views8484$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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Provider's Procedures

JONATHAN S. MOULTON (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOH71010X-ray of chest, 1 view, front226192
DIAGNOSTIC RADIOLOGYOH71250CT scan chest5959
DIAGNOSTIC RADIOLOGYOH74177CT scan of abdomen and pelvis with contrast264255
DIAGNOSTIC RADIOLOGYOH76830Ultrasound pelvis through vagina2525

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: 2264344480View full group profile
NameSpecialtyState
-OH
Radiation OncologyOH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
N E U R O L O G YOH
-OH
-OH
-OH
-OH
Family PracticeOH

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Frequently asked questions

What NPI should I save for JONATHAN S. MOULTON (MD)?
Save NPI 1457391526 if you need a stable reference for JONATHAN S. MOULTON (MD).
Is JONATHAN S. MOULTON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JONATHAN S. MOULTON (MD) treat or focus on?
Patients typically see JONATHAN S. MOULTON (MD) under the specialty Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
Does JONATHAN S. MOULTON (MD) practice in Ohio?
You will see Cincinnati, Ohio on file for JONATHAN S. MOULTON (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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