ADAM RANDALL MOECK – Diagnostic Radiology Physician, NPI 1134515059
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Provider Addresses for ADAM RANDALL MOECK
3551 ROGER BROOKE DRIVE
JBSA FORT SAM HOUSTON, TX 782344504
Phone:
Type: Mailing
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 782344504
Phone: (210) 916-3290
Type: Location
650 JOEL DR
FORT CAMPBELL, KY 422235318
Phone: (123) 456-7891
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: 2025-06-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20240209001844 | I | Diagnostic Radiology | MO | TBD |
| I20240216000173 | I | Diagnostic Radiology | IL | TBD |
| I20240311003369 | I | Diagnostic Radiology | MI | TBD |
| I20241101001840 | I | Diagnostic Radiology | TN | TBD |
| I20250117003240 | I | Diagnostic Radiology | WV | TBD |
| I20250609000321 | I | Diagnostic Radiology | VA | 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 78234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | WY | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | GA | |
| - | NC | |
| - | NC | |
| Diagnostic Radiology | NC | |
| - | NC | |
| - | NC |
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