MICHAEL NICHOLAS MOULTON (DO) – Cardiovascular Disease Physician, NPI 1962907071

MICHAEL NICHOLAS MOULTON (DO) is a healthcare provider. based in Eglin afb, Florida. specializing in Cardiovascular Disease Physician. They hold the professional credentials DO. They hold a License No. DO2972 (ME). The NPI Number for MICHAEL NICHOLAS MOULTON (DO) is 1962907071

Main info

Male
Name
MICHAEL NICHOLAS MOULTON (DO)
NPI
1962907071
Phone
(850) 883-8600
Address
340 BOATNER RD
Enumeration Date
29 March 2018
Last Update Date
19 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

Provider Addresses for MICHAEL NICHOLAS MOULTON (DO)

  • 340 BOATNER RD

    EGLIN AFB, FL 325421391

    Phone: (850) 883-8600

    Type: Mailing

  • Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States

    SAN ANTONIO, TX 782344504

    Phone: (210) 292-5077

    Fax: (210) 292-7868

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $520.

Total Amount is formed as General ($520) + Research ($0) + Ownership ($0) = $520.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ShockWave Medical, Inc ($157).

Total Amount

$520

General + Research + Ownership

Payments

10

Total payment records

General Amount

$520

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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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: 2020-03-20

PECOS data refreshed: 2026-05-27

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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 32542)

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Reviews

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Frequently asked questions

What is the registry number for MICHAEL NICHOLAS MOULTON (DO)?
The registry entry for MICHAEL NICHOLAS MOULTON (DO) shows NPI 1962907071.
Is MICHAEL NICHOLAS MOULTON (DO)'s NPI status active today?
Active status means MICHAEL NICHOLAS MOULTON (DO)'s NPI record is not deactivated in the public file.
How should patients interpret MICHAEL NICHOLAS MOULTON (DO)'s specialty?
The extract shows Cardiovascular Disease Physician for MICHAEL NICHOLAS MOULTON (DO). Clinical services aligned with this taxonomy classification.
Which community is linked to MICHAEL NICHOLAS MOULTON (DO)?
MICHAEL NICHOLAS MOULTON (DO) shows a connection to Eglin Afb, Florida in registry-derived data.
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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