DR. TODD STANLEY MOONEY (M.D.) – Family Medicine Physician, NPI 1013024330

DR. TODD STANLEY MOONEY (M.D.) is a healthcare provider. based in Panguitch, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 30991171205 (UT). The NPI Number for DR. TODD STANLEY MOONEY (M.D.) is 1013024330

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. TODD STANLEY MOONEY (M.D.)
NPI
1013024330
Phone
(435) 676-8811
Address
400 E 200 N
Enumeration Date
23 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
4356768842
Graduation Year
1997 (29 years ago)
PAC ID
3577461623
Group Practice PAC ID
6305744459
Professional Enrollment ID
I20031227000013
Address ID
UT847590389PA200XX400X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,137 FAMILY PRACTICE in UT

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Provider Addresses for DR. TODD STANLEY MOONEY (M.D.)

  • 200 N, 400 East, Panguitch, Garfield County, Utah, 84759, United States

    PANGUITCH, UT 847590389

    Phone: (435) 676-8811

    Fax: (435) 676-2679

    Type: Location

  • PO BOX 389

    PANGUITCH, UT 847590389

    Phone: (435) 676-8811

    Fax: (435) 676-2679

    Type: Mailing

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: 2003-12-27

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
I20031227000013IFamily PracticeUTTBD

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 84759)

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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: 6305744459View full group profile
NameSpecialtyState
Family PracticeUT
Family PracticeUT
Nurse PractitionerUT
Physician AssistantUT
Family PracticeOR
Family PracticeUT
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)UT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Is there an official ID for DR. TODD STANLEY MOONEY (M.D.) in U.S. healthcare records?
The official identifier for DR. TODD STANLEY MOONEY (M.D.) is NPI 1013024330.
Active or inactive — what applies to DR. TODD STANLEY MOONEY (M.D.)?
You should see DR. TODD STANLEY MOONEY (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. TODD STANLEY MOONEY (M.D.)?
DR. TODD STANLEY MOONEY (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. TODD STANLEY MOONEY (M.D.) located near Panguitch?
DR. TODD STANLEY MOONEY (M.D.) currently maps to Panguitch, Utah in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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