DR. ROBERT CLARK MOOTY (MD) – Plastic and Reconstructive Surgery Physician, NPI 1730383423

DR. ROBERT CLARK MOOTY (MD) is a healthcare provider. based in Lubbock, Texas. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. N0288 (TX). The NPI Number for DR. ROBERT CLARK MOOTY (MD) is 1730383423

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT CLARK MOOTY (MD)
NPI
1730383423
Phone
(806) 797-6398
Address
10105 QUAKER AVENUE
Enumeration Date
14 June 2007
Last Update Date
16 March 2016

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8067976398108
Graduation Year
2005 (21 years ago)
PAC ID
4587824743
Group Practice PAC ID
5092780304
Professional Enrollment ID
I20120326000284
Address ID
TX794247380LU10105AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

589 PLASTIC AND RECONSTRUCTIVE SURGERY in TX

Loading map...

Provider Addresses for DR. ROBERT CLARK MOOTY (MD)

  • 10105, Quaker Avenue, Lubbock, Lubbock County, Texas, 79424, United States

    LUBBOCK, TX 794237380

    Phone: (806) 797-6398

    Fax: (806) 797-6399

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $2,102.

Total Amount is formed as General ($2,102) + Research ($0) + Ownership ($0) = $2,102.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: ABBVIE INC. ($1,905).

Total Amount

$2,102

General + Research + Ownership

Payments

70

Total payment records

General Amount

$2,102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-03-26

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
I20120326000284IPlastic And Reconstructive SurgeryTXTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 79423)

Loading plans...

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: 5092780304View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryTX
Plastic And Reconstructive SurgeryTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is DR. ROBERT CLARK MOOTY (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. ROBERT CLARK MOOTY (MD) with NPI 1730383423.
Is DR. ROBERT CLARK MOOTY (MD) listed as active for patients and plans?
The listing shows DR. ROBERT CLARK MOOTY (MD) as active in the NPI system.
What taxonomy line describes DR. ROBERT CLARK MOOTY (MD)?
For research purposes, treat DR. ROBERT CLARK MOOTY (MD) as Plastic and Reconstructive Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. ROBERT CLARK MOOTY (MD) list a practice location?
Patients near Lubbock, Texas may find DR. ROBERT CLARK MOOTY (MD) in results; validate coverage separately.
Why does DR. ROBERT CLARK MOOTY (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

HERBERT JIM III NASSOUR (M. D.)

Plastic and Reconstructive Surgery Physician
2101 PEASE ST
NPI: 1972506228

DR. GARY R JACOBS (M.D.)

Plastic and Reconstructive Surgery Physician
703, East Marshall Avenue, Longview, Gregg County, Texas, 75601, United States
NPI: 1407853732

DR. MICHAEL LOUIS EISEMANN (MD)

Hearing Instrument Specialist
Houston Methodist - Smith Tower, 6550, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
NPI: 1821095639

CHRISTINE A CARMAN STILES (M.D.)

Plastic and Reconstructive Surgery Physician
5575, Warren Parkway, Frisco, Collin County, Texas, 75034, United States
NPI: 1497753438

EID B MUSTAFA (MD)

Plastic and Reconstructive Surgery Physician
1201, Brook Avenue, Wichita Falls, Wichita County, Texas, 76301, United States
NPI: 1023018470

GREGG MICHAEL ANIGIAN (MD)

Plastic and Reconstructive Surgery Physician
Walnut Hill Lane, Dallas, Dallas County, Texas, 75231, United States
NPI: 1538169966

CHARLES ALAN WALLACE (MD)

Plastic and Reconstructive Surgery Physician
17110, Dallas Parkway, Dallas, Dallas County, Texas, 75001:75287, United States
NPI: 1164422481