DR. MICHAEL STEVEN MOATES (EDD, LP, LBA, QBA) – Clinical Psychologist, NPI 1063862258
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MICHAEL STEVEN MOATES (EDD, LP, LBA, QBA)
5764 N ORANGE BLOSSOM TRL
ORLANDO, FL 32810
Phone: (179) 349-5008
Type: Location
4440, West Airport Freeway, Irving, Dallas County, Texas, 75062, United States
1176
IRVING, TX 750625821
Phone: (817) 851-7235
Type: Mailing
6004 OAKLAND BEND DR APT 116
FORT WORTH, TX 761122722
Phone: (254) 966-2837
Type: Location
2700 COLORADO BLVD APT 1526
DENTON, TX 762106839
Phone: (817) 999-7534
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2024-12-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230825000131 | I | Clinical Psychologist | FL | TBD |
| I20241219003811 | I | Clinical Psychologist | ID | 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 32810)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.