DR. ANDREW DAVIS MOFFAT (D.O.) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1942512751

DR. ANDREW DAVIS MOFFAT (D.O.) is a healthcare provider. based in West jordan, Utah. specializing in UNDERSEA AND HYPERBARIC MEDICINE, FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 86093511204 (UT). The NPI Number for DR. ANDREW DAVIS MOFFAT (D.O.) is 1942512751

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW DAVIS MOFFAT (D.O.)
NPI
1942512751
Phone
(801) 601-2322
Address
3590 W 9000 S
Enumeration Date
9 July 2010
Last Update Date
4 April 2025

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
8014083043
Graduation Year
2010 (16 years ago)
PAC ID
8729200985
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20141104001444
Address ID
UT841430001SA8XXXXSTXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

10 UNDERSEA AND HYPERBARIC MEDICINE in UT

Provider Addresses for DR. ANDREW DAVIS MOFFAT (D.O.)

  • 3590 W 9000 S

    SUITE 105

    WEST JORDAN, UT 840888857

    Phone: (801) 601-2322

    Fax: (801) 601-2679

    Type: Mailing

  • 2132 N ROBINS DR STE 100

    LAYTON, UT 840417059

    Phone: (801) 807-7900

    Fax: (801) 807-7904

    Type: Location

  • 3000 N Triumph Blvd

    Lehi, UT 840437186

    Phone: (385) 345-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $326.

Total Amount is formed as General ($326) + Research ($0) + Ownership ($0) = $326.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: MIMEDX Group, Inc. ($160).

Total Amount

$326

General + Research + Ownership

Payments

11

Total payment records

General Amount

$326

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2014-11-04

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
I20141104001444IUndersea And Hyperbaric MedicineUTTBD

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
99183Management of oxygen chamber therapy6411$0
11042Removal of skin and tissue, 20.0 sq cm or less3011$0
99213Established patient office or other outpatient visit, 20-29 minutes2412$0
97597Removal of tissue from wound, 20.0 sq cm or less2211$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 84088)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. ANDREW DAVIS MOFFAT (D.O.)?
Save NPI 1942512751 if you need a stable reference for DR. ANDREW DAVIS MOFFAT (D.O.).
Is DR. ANDREW DAVIS MOFFAT (D.O.) active in the national directory?
DR. ANDREW DAVIS MOFFAT (D.O.)'s public NPI profile is in an active state.
What kind of provider is DR. ANDREW DAVIS MOFFAT (D.O.)?
The page reflects Undersea and Hyperbaric Medicine (Preventive Medicine) Physician for DR. ANDREW DAVIS MOFFAT (D.O.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ANDREW DAVIS MOFFAT (D.O.)?
The page summarizes West Jordan, Utah for DR. ANDREW DAVIS MOFFAT (D.O.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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