DUSTIN JAMES MOYER (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1679146229

DUSTIN JAMES MOYER (DPM) is a healthcare provider. based in Renton, Washington. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO61543405 (WA). The NPI Number for DUSTIN JAMES MOYER (DPM) is 1679146229

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN JAMES MOYER (DPM)
NPI
1679146229
Phone
(425) 277-3668
Address
4300 TALBOT RD S STE 102
Enumeration Date
21 July 2021
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
4252773668
Graduation Year
2021 (5 years ago)
PAC ID
2264974351
Group Practice PAC ID
6305736067
Professional Enrollment ID
I20240604003174
Address ID
WA980556238RE4300XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

360 PODIATRY in WA

Provider Addresses for DUSTIN JAMES MOYER (DPM)

  • 4300 TALBOT RD S STE 102

    RENTON, WA 980556238

    Phone: (425) 277-3668

    Type: Mailing

  • 1425 PORTLAND AVE

    ROCHESTER, NY 146213011

    Phone: (585) 922-4731

    Type: Mailing

  • 1425 Portland Ave

    Rochester, NY 146213011

    Phone: (585) 922-4731

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $779.

Total Amount is formed as General ($779) + Research ($0) + Ownership ($0) = $779.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($241).

Total Amount

$779

General + Research + Ownership

Payments

8

Total payment records

General Amount

$779

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

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: 2024-06-04

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
I20240604003174IPodiatryWATBD

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 98055)

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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: 6305736067View full group profile
NameSpecialtyState
P O D I A T R YWA
P O D I A T R YWA
P O D I A T R YWA

Reviews

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Frequently asked questions

Does DUSTIN JAMES MOYER (DPM) have a public NPI I can cite?
Public records show DUSTIN JAMES MOYER (DPM) under NPI 1679146229.
Is DUSTIN JAMES MOYER (DPM)'s NPI status active today?
Active status means DUSTIN JAMES MOYER (DPM)'s NPI record is not deactivated in the public file.
What type of care does DUSTIN JAMES MOYER (DPM) provide?
DUSTIN JAMES MOYER (DPM)'s profile centers on Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What city is tied to DUSTIN JAMES MOYER (DPM)?
The directory associates DUSTIN JAMES MOYER (DPM) with Renton, Washington. Check all listed addresses for suites or satellite offices.
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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