DR. MATTHEW TODD MOODY (DO) – Emergency Medicine Physician, NPI 1386872869
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,209 EMERGENCY MEDICINE in WA
Provider Addresses for DR. MATTHEW TODD MOODY (DO)
PO BOX 8500-8735
PHILADELPHIA, PA 191780001
Phone: (215) 456-7000
Fax: (215) 254-2599
Type: Mailing
901 MOUNTAIN VIEW DR
SHELTON, WA 985844401
Phone: (360) 426-1611
Type: Location
5501 Old York Rd
Philadelphia, PA 191413091
Phone: (215) 456-6679
Fax: (215) 456-8502
Type: Location
Einstein Medical Center Philadelphia, 5501, Old York Road, Tabor, Philadelphia, Philadelphia County, Pennsylvania, 19141, United States
PHILADELPHIA, PA 191413091
Phone: (215) 456-6679
Fax: (215) 456-8502
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: 2017-06-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20121023000010 | I | Emergency Medicine | TN | TBD |
| I20130226000635 | I | Emergency Medicine | VA | TBD |
| I20170615000616 | I | Emergency Medicine | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19178)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Family Practice | TN | |
| Family Practice, Emergency Medicine | TN | |
| Emergency Medicine | TX | |
| Emergency Medicine | TN | |
| - | TN | |
| Emergency Medicine | TN | |
| Internal Medicine | TN | |
| - | TN | |
| Emergency Medicine, Emergency Medicine, General Practice | TN |
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