NATALIE MOFFETT (MD) – Family Medicine Physician, NPI 1629508957

NATALIE MOFFETT (MD) is a healthcare provider. based in Sutherlin, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD198407 (OR). The NPI Number for NATALIE MOFFETT (MD) is 1629508957

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NATALIE MOFFETT (MD)
NPI
1629508957
Phone
(541) 677-7200
Address
249 DAKOTA ST
Enumeration Date
19 June 2017
Last Update Date
9 August 2023

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5416777200
Graduation Year
2017 (9 years ago)
PAC ID
9638440688
Group Practice PAC ID
9234397878
Professional Enrollment ID
I20200714001181
Address ID
OR974716214RO2570XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

Provider Addresses for NATALIE MOFFETT (MD)

  • 249 DAKOTA ST

    SUTHERLIN, OR 974799908

    Phone: (541) 677-7200

    Fax: (541) 229-3309

    Type: Location

  • 2570 NW Edenbower Blvd Ste 100

    Roseburg, OR 974716214

    Phone: (541) 677-7200

    Fax: (541) 229-3309

    Type: Location

  • Northwest Edenbower Boulevard, Roseburg, Douglas County, Oregon, 97470, United States

    ROSEBURG, OR 974716214

    Phone: (541) 677-7200

    Fax: (541) 229-3309

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-09-28 • Largest payer in this snapshot: Novo Nordisk Inc ($33).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$33
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: 2020-07-14

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
I20200714001181IFamily 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6340$0
99214Established patient office or other outpatient visit, 30-39 minutes3434$0
99238Hospital discharge day management, 30 minutes or less3434$0
81003Automated urinalysis test1917$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1812$0
View full utilization report →

Insurance plans in this area (ZIP 97479)

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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: 9234397878View full group profile
NameSpecialtyState
Nurse PractitionerOR
Family PracticeOR
Nurse PractitionerOR
Family PracticeOR
Physician AssistantOR
Internal Medicine, Pediatric Medicine, EndocrinologyOR
Physician AssistantOR
Hospitalist, Internal Medicine, Internal Medicine, HospitalistOR
Mental Health CounselorOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

How do payers reference NATALIE MOFFETT (MD)?
For NATALIE MOFFETT (MD), use NPI 1629508957 as the unique 10-digit identifier.
Would NATALIE MOFFETT (MD) appear as active to a payer?
You can treat NATALIE MOFFETT (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe NATALIE MOFFETT (MD)'s focus?
For NATALIE MOFFETT (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is NATALIE MOFFETT (MD) associated with Sutherlin?
Public fields place NATALIE MOFFETT (MD) around Sutherlin, Oregon. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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