DEREK LEE MOODY – Orthopaedic Surgery of the Spine Physician, NPI 1841752458
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,187 ORTHOPEDIC SURGERY in TX
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Provider Addresses for DEREK LEE MOODY
Memorial Hermann Medical Plaza, 6400, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
HOUSTON, TX 770301521
Phone: (713) 486-7500
Type: Location
6400 Fannin St
Houston, TX 770301521
Phone: (713) 486-7500
Type: Location
6404 NURSERY DR STE 202
VICTORIA, TX 779041688
Phone: (361) 576-0633
Fax: (361) 576-0639
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 $453.
Total Amount is formed as General ($453) + Research ($0) + Ownership ($0) = $453.
Last reported payment date: 2024-05-29 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($453).
Total Amount
$453
General + Research + Ownership
Payments
10
Total payment records
General Amount
$453
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $453 |
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: 2025-02-13
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 |
|---|---|---|---|---|
| I20250213003957 | I | Orthopedic Surgery | TX | 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 77030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | TX |
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