DR. BRYCE ALAIN MOODY (M.D.) – Family Medicine Physician, NPI 1396189403

DR. BRYCE ALAIN MOODY (M.D.) is a healthcare provider. based in Ooltewah, Tennessee. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0101275969 (VA). The NPI Number for DR. BRYCE ALAIN MOODY (M.D.) is 1396189403

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRYCE ALAIN MOODY (M.D.)
NPI
1396189403
Phone
(423) 771-9629
Address
6913 BUCKSLAND DR
Enumeration Date
18 April 2013
Last Update Date
1 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7316421220
Graduation Year
2013 (13 years ago)
PAC ID
9638312002
Group Practice PAC ID
2466714571
Professional Enrollment ID
I20160818002646
Address ID
TN382424544PA301XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

Provider Addresses for DR. BRYCE ALAIN MOODY (M.D.)

  • 6913 BUCKSLAND DR

    OOLTEWAH, TN 373636485

    Phone: (423) 771-9629

    Type: Mailing

  • 620 SKYLINE DR

    JACKSON, TN 383013923

    Phone: (731) 541-5000

    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: 2022-11-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150713001571IFamily PracticeGATBD
I20160818002646IFamily PracticeTNTBD
I20221111002395IFamily PracticeVATBD

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
99285Emergency department visit with high level of medical decision making361351$0
99284Emergency department visit with moderate level of medical decision making202201$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only147142$0
99291Critical care, first 30-74 minutes9494$0
99283Emergency department visit with low level of medical decision making3837$0
View full utilization report →

Insurance plans in this area (ZIP 37363)

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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: 2466714571View full group profile
NameSpecialtyState
Emergency MedicineKY
Emergency MedicineOH
Emergency MedicineFL
Emergency MedicineTN
Emergency MedicineTN
Emergency MedicineTN
Emergency MedicineKY
-LA
Nurse PractitionerKY
Family Practice, Family Practice, Emergency MedicineTN

Reviews

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Frequently asked questions

What number should I use to identify DR. BRYCE ALAIN MOODY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1396189403 for DR. BRYCE ALAIN MOODY (M.D.).
Is DR. BRYCE ALAIN MOODY (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. BRYCE ALAIN MOODY (M.D.) as active.
What services align with DR. BRYCE ALAIN MOODY (M.D.)'s listing?
DR. BRYCE ALAIN MOODY (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. BRYCE ALAIN MOODY (M.D.)?
DR. BRYCE ALAIN MOODY (M.D.) is associated with Ooltewah, Tennessee in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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