DR. NICHOLAS DAVID MOSCA (MD) – Family Medicine Physician, NPI 1225568777

DR. NICHOLAS DAVID MOSCA (MD) is a healthcare provider. based in Edmond, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301113168 (MI). The NPI Number for DR. NICHOLAS DAVID MOSCA (MD) is 1225568777

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS DAVID MOSCA (MD)
NPI
1225568777
Phone
(405) 844-4300
Address
1700 Renaissance Blvd
Enumeration Date
18 June 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057373278
Graduation Year
2017 (9 years ago)
PAC ID
5395015598
Group Practice PAC ID
2466515994
Professional Enrollment ID
I20201119001225
Address ID
OK731108002MI8900XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for DR. NICHOLAS DAVID MOSCA (MD)

  • 1700 Renaissance Blvd

    Edmond, OK 730133022

    Phone: (405) 844-4300

    Type: Location

  • Southeast 15th Street, Midwest City, Oklahoma County, Oklahoma, 73020, United States

    MIDWEST CITY, OK 731108002

    Phone: (405) 844-4300

    Type: Location

  • 24911 Little Mack Ave Ste C

    Saint Clair Shores, MI 480803200

    Phone: (586) 777-2050

    Fax: (586) 777-2189

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 195 Open Payments records for all available years, with a total value of $3,075.

Total Amount is formed as General ($3,075) + Research ($0) + Ownership ($0) = $3,075.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($607).

Total Amount

$3,075

General + Research + Ownership

Payments

195

Total payment records

General Amount

$3,075

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2020-11-19

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
I20201119001225IFamily PracticeOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes376141$0
36415Insertion of needle into vein for collection of blood sample242134$0
99213Established patient office or other outpatient visit, 20-29 minutes220126$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count160108$0
80061Blood test, lipids (cholesterol and triglycerides)147100$0
View full utilization report →

Insurance plans in this area (ZIP 73013)

Loading plans...

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: 2466515994View full group profile
NameSpecialtyState
Nurse PractitionerOK
Family PracticeOK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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

Frequently asked questions

What is the 10-digit NPI for DR. NICHOLAS DAVID MOSCA (MD)?
DR. NICHOLAS DAVID MOSCA (MD) — NPI 1225568777 — is the standard way to identify this listing.
Does CMS list DR. NICHOLAS DAVID MOSCA (MD) as active?
Yes — DR. NICHOLAS DAVID MOSCA (MD) is active in the NPI listing used on this page.
What is DR. NICHOLAS DAVID MOSCA (MD)'s specialty?
The listing groups DR. NICHOLAS DAVID MOSCA (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. NICHOLAS DAVID MOSCA (MD) based?
DR. NICHOLAS DAVID MOSCA (MD) is tied to Edmond, Oklahoma in the data we show; additional addresses may exist on the full record.
Is the information about DR. NICHOLAS DAVID MOSCA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

DR. JENNY LE (MD)

Family Medicine Physician
2611, Kelley Pointe Parkway, Edmond, Oklahoma County, Oklahoma, 73013, United States
NPI: 1053315937

DANIEL CLAYTON CLINKENBEARD (MD)

Family Medicine Physician
9600 BROADWAY EXT
NPI: 1629076963

DR. JACKIE GARLAND

Family Medicine Physician
5300 N INDEPENDENCE AVE STE 280
NPI: 1164417044

GRAND FU KWOK WONG (MD)

Family Medicine Physician
5300, North Independence Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
NPI: 1730175340

DR. JANICE TUOHY (D.O.)

Family Medicine Physician
3555, Northwest 58th Street, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
NPI: 1154319234

DR. STEVEN HEBBLETHWAITE (D.O.)

Family Medicine Physician
7807, South Walker Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73139, United States
NPI: 1629066600

DR. CHARLES TERRY JONES (D.O.)

Family Medicine Physician
1705 RENAISSANCE BLVD
NPI: 1407844491

DR. ERNEST CASTRO LEE (M.D., M.P.H.)

Family Medicine Physician
8941 ENTRANCE RD A
NPI: 1013906718

DR. BILL EDWARDS (DO)

Family Medicine Physician
1705 RENAISSANCE BLVD
NPI: 1770572281