DR. STACY JAMES MOULTON (M.D.) – Diagnostic Radiology Physician, NPI 1356332449
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,529 DIAGNOSTIC RADIOLOGY in VA
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Provider Addresses for DR. STACY JAMES MOULTON (M.D.)
Spotsylvania Avenue, Maryes Heights, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
SUITE 200
FREDERICKSBURG, VA 224088606
Phone: (540) 361-1000
Fax: (540) 361-7010
Type: Mailing
Mary Washington Hospital, 1001, Sam Perry Boulevard, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
FREDERICKSBURG, VA 224014453
Phone: (540) 361-1000
Fax: (540) 361-7010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-10-13 • Largest payer in this snapshot: BIOPROTECT MEDICAL, INC. ($56).
Total Amount
$56
General + Research + Ownership
Payments
1
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOPROTECT MEDICAL, INC. | $56 |
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: 2006-08-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060804000074 | I | Diagnostic Radiology | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 61,372 | 364 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 28,250 | 281 | $0 |
| 71045 | X-ray of chest, 1 view | 318 | 294 | $0 |
| 74183 | Mri scan of abdomen before and after contrast | 278 | 271 | $0 |
| 71250 | Ct scan of chest without contrast | 254 | 250 | $0 |
Insurance plans in this area (ZIP 22408)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | VA | 71250 | CT scan chest | 136 | 132 |
| DIAGNOSTIC RADIOLOGY | VA | 71010 | X-ray of chest, 1 view, front | 554 | 496 |
| DIAGNOSTIC RADIOLOGY | VA | 73630 | X-ray of foot, minimum of 3 views | 12 | 11 |
| DIAGNOSTIC RADIOLOGY | VA | 74177 | CT scan of abdomen and pelvis with contrast | 118 | 116 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | VA | |
| Interventional Radiology, Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology, Interventional Radiology, Interventional Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Interventional Radiology, Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA |
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