MR. ROBERT M MOYLON (PA-C, ATC) – Physician Assistant, NPI 1124161278

MR. ROBERT M MOYLON (PA-C, ATC) is a healthcare provider. based in Coppell, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, ATC. They hold a License No. 104-0000126 (VT). The NPI Number for MR. ROBERT M MOYLON (PA-C, ATC) is 1124161278

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBERT M MOYLON (PA-C, ATC)
NPI
1124161278
Phone
(972) 745-7500
Address
PO BOX 9101
Enumeration Date
15 February 2007
Last Update Date
8 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9729851072
Graduation Year
2013 (13 years ago)
PAC ID
6406090570
Group Practice PAC ID
3375724792
Professional Enrollment ID
I20130912000149
Address ID
TX750935617PL4031XPKWY403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. ROBERT M MOYLON (PA-C, ATC)

  • PO BOX 9101

    COPPELL, TX 750199494

    Phone: (972) 745-7500

    Type: Mailing

  • 1218 W MCDERMOTT DR

    ALLEN, TX 750136304

    Phone: (972) 390-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Genentech USA, Inc. ($46).

Total Amount

$46

General + Research + Ownership

Payments

1

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Genentech USA, Inc.$46
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: 2013-09-12

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
I20130912000149IPhysician AssistantTXTBD

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
27447Replacement of knee joint, both sides of knee1716$0
View full utilization report →

Insurance plans in this area (ZIP 75019)

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Provider's Procedures

MR. ROBERT M MOYLON (PA-C, ATC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX27447Repair of knee joint1212

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: 3375724792View full group profile
NameSpecialtyState
-TX
Physician AssistantTX
-TX
-TX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What is the standard ID for MR. ROBERT M MOYLON (PA-C, ATC) in the U.S.?
In the U.S., MR. ROBERT M MOYLON (PA-C, ATC) is identified by NPI 1124161278.
Quick check: is MR. ROBERT M MOYLON (PA-C, ATC) active?
Public NPPES data shows MR. ROBERT M MOYLON (PA-C, ATC) with an active NPI status right now.
Which specialty label fits MR. ROBERT M MOYLON (PA-C, ATC)?
NPPES ties MR. ROBERT M MOYLON (PA-C, ATC) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MR. ROBERT M MOYLON (PA-C, ATC)?
The directory associates MR. ROBERT M MOYLON (PA-C, ATC) with Coppell, Texas. Check all listed addresses for suites or satellite offices.
Can I export MR. ROBERT M MOYLON (PA-C, ATC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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