MEAGAN MOULTON (PA) – Physician Assistant, NPI 1790472280

MEAGAN MOULTON (PA) is a healthcare provider. based in Kyle, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA.9368 (CO). The NPI Number for MEAGAN MOULTON (PA) is 1790472280

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MEAGAN MOULTON (PA)
NPI
1790472280
Phone
(512) 862-1881
Address
1180 Seton Pkwy
Enumeration Date
24 April 2023
Last Update Date
17 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5128621881
Graduation Year
2023 (3 years ago)
PAC ID
4789030248
Group Practice PAC ID
1153705108
Professional Enrollment ID
I20231019003402
Address ID
TX787053302AU2911XSTXX410
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

8,584 PHYSICIAN ASSISTANT in TX

Provider Addresses for MEAGAN MOULTON (PA)

  • 1180 Seton Pkwy

    Kyle, TX 786406178

    Phone: (512) 862-1881

    Type: Location

  • 4613 Bee Caves Rd Ste 102

    West Lake Hills, TX 787465206

    Phone: (512) 862-1881

    Type: Location

  • 2555 S DOWNING ST FL 1

    DENVER, CO 802105856

    Phone: (303) 316-6677

    Fax: (303) 316-5004

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $463.

Total Amount is formed as General ($463) + Research ($0) + Ownership ($0) = $463.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: TACTILE SYSTEMS TECHNOLOGY INC ($261).

Total Amount

$463

General + Research + Ownership

Payments

10

Total payment records

General Amount

$463

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

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: 2025-10-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231019003402IPhysician AssistantTXTBD
I20251003002061IPhysician AssistantCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78640)

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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: 1153705108View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Surgical OncologyTX

Reviews

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Frequently asked questions

What number should I use to identify MEAGAN MOULTON (PA) for billing?
Administrative and clinical systems typically use NPI 1790472280 for MEAGAN MOULTON (PA).
Does the public listing show MEAGAN MOULTON (PA) as active?
MEAGAN MOULTON (PA)'s NPI record reflects an active status in NPPES.
What services align with MEAGAN MOULTON (PA)'s listing?
MEAGAN MOULTON (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to MEAGAN MOULTON (PA)?
MEAGAN MOULTON (PA) shows a connection to Kyle, Texas in registry-derived data.
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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