DAVID F MOULTON (MD) – Internal Medicine Physician, NPI 1407851603
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,526 INTERNAL MEDICINE in TN
Provider Addresses for DAVID F MOULTON (MD)
802 LIZABETH DR
JOHNSON CITY, TN 376041949
Phone: (423) 283-0733
Type: Location
215, East Springbrook Drive, Hill-N-Dale, Johnson City, Washington County, Tennessee, 37601, United States
JOHNSON CITY, TN 376011761
Phone: (423) 794-5520
Fax: (423) 282-6940
Type: Mailing
Johnson City Pediatrics, 301, Med Tech Parkway, Johnson City, Washington County, Tennessee, 37604, United States
STE 240
JOHNSON CITY, TN 37604
Phone: (423) 794-5520
Fax: (423) 282-6940
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 $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2023-05-19 • Largest payer in this snapshot: ABBVIE INC. ($18).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $18 |
| AstraZeneca Pharmaceuticals LP | $17 |
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: 2010-02-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100210000128 | I | Internal Medicine | TN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 521 | 204 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 414 | 174 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 358 | 193 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 234 | 147 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 230 | 143 | $0 |
Insurance plans in this area (ZIP 37604)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | TN | 83036 | Hemoglobin A1C level | 131 | 74 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Nurse Practitioner | VA | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| - | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology | TN | |
| - | TN | |
| - | TN |
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