RICHARD WILLIAM II MOBERLY (MD) – Family Medicine Physician, NPI 1063632073

RICHARD WILLIAM II MOBERLY (MD) is a healthcare provider. based in Scappoose, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD177260 (OR). The NPI Number for RICHARD WILLIAM II MOBERLY (MD) is 1063632073

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD WILLIAM II MOBERLY (MD)
NPI
1063632073
Phone
(503) 418-4222
Address
51377 SW OLD PORTLAND RD
Enumeration Date
1 May 2007
Last Update Date
10 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
5034184222
Graduation Year
2006 (20 years ago)
PAC ID
1456402650
Group Practice PAC ID
1759328842
Professional Enrollment ID
I20100805000802
Address ID
OR970564023SC51377RDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

Provider Addresses for RICHARD WILLIAM II MOBERLY (MD)

  • 51377 SW OLD PORTLAND RD

    SCAPPOOSE, OR 970564023

    Phone: (503) 418-4222

    Fax: (503) 418-4223

    Mailing address matches the actual address.

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: 2016-05-26

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
I20160526000880IFamily PracticeORTBD

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 minutes4016$0
View full utilization report →

Insurance plans in this area (ZIP 97056)

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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: 1759328842View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to RICHARD WILLIAM II MOBERLY (MD)?
NPI 1063632073 is assigned to RICHARD WILLIAM II MOBERLY (MD) under the national enumeration system.
Is RICHARD WILLIAM II MOBERLY (MD) currently active in the NPI registry?
CMS-published data lists RICHARD WILLIAM II MOBERLY (MD) as an active registrant.
What does RICHARD WILLIAM II MOBERLY (MD) treat or focus on?
Patients typically see RICHARD WILLIAM II MOBERLY (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place RICHARD WILLIAM II MOBERLY (MD)?
The snapshot lists Scappoose, Oregon for RICHARD WILLIAM II MOBERLY (MD); download NPPES for the complete set.
Is RICHARD WILLIAM II MOBERLY (MD) a real provider?
This page reflects official NPPES data for NPI 1063632073. Always confirm identity and privileges with the practice and licensing boards.

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