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Deactivated NPI 1063489821 Deactivated / Inactive NPI Male Practitioner

Dr. Michael N Moody , MD

General Practice • Salem, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Moody has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2006
NPI Deactivation Date January 16, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Moody, MD was a registered General Practice practicing in Salem, AR. Throughout an active medical career spanning 14 years, Dr. Moody provided care at the practice location at 507 N MAIN ST until profile deactivation on 2020-01-16.

Historical Medicare Part B clinical services included insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, blood test, comprehensive group of blood chemicals. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

507 N Main St

Salem, AR 725769449

Telephone 8708952541
Fax 8708952957
Associated Practice Facility / Clinic
🏢 Salem Family Clinic Facility NPI 1376519454

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Salem, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Salem, AR (111 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
1,227 461 $6.00 $2.90
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
799 428 $20.00 $8.40
80053 Blood test, comprehensive group of blood chemicals
573 395 $25.00 $11.50
80061 Blood test, lipids (cholesterol and triglycerides)
274 248 $30.00 $14.58
80048 Blood test, basic group of blood chemicals (calcium, total)
261 143 $20.00 $9.21
85610 Blood test, clotting time
257 33 $15.00 $4.26
81000 Manual urinalysis test with examination using microscope, non-automated
249 121 $15.00 $3.93
83036 Hemoglobin A1C level
198 110 $25.00 $10.54
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
183 55 $12.00 $6.80
99213 Established patient office or other outpatient visit, typically 15 minutes
154 93 $98.96 $67.74
71046 X-ray of chest, 2 views
121 80 $65.00 $27.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
98 64 $40.00 $15.05
J1100 Injection, dexamethasone sodium phosphate, 1 mg
82 18 $2.15 $0.11
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated
70 37 $10.00 $4.18
93000 Routine ekg using at least 12 leads including interpretation and report
56 45 $50.00 $15.04
84436 Thyroxine (thyroid chemical), total
21 21 $15.00 $7.48
84443 Blood test, thyroid stimulating hormone (TSH)
21 21 $40.00 $18.30
73630 X-ray of foot, minimum of 3 views
16 11 $51.56 $27.06
82270 Stool analysis for blood to screen for colon tumors
14 14 $10.00 $4.29
73560 X-ray of knee, 1-2 views
11 11 $55.00 $27.99

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License AR C-4622

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Jimmy Bozeman , MD

General Practice

NPI 1164499935

Doctor of Medicine (M.D.)

Connie Bray , CRNA

Nurse Anesthetist, Certified Registered

NPI 1164557351

Certified Registered Nurse Anesthetist

Mirenda Martin , APRN

Clinical Nurse Specialist - Family Health

NPI 1407209075

Advanced Practice Registered Nurse

Dr. Paul Kauffman , MD

Family Medicine

NPI 1891880555

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 16, 2020

Record deactivated on January 16, 2020

NPI Profile Active December 22, 2010

NPI status registered as active in NPPES database

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Updated Practice Location December 22, 2010

Registered at 507 N MAIN ST, SALEM, AR 725769449 (Tel: 8708952541)

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Updated Business Mailing Address December 22, 2010

Registered at PO BOX 829, SALEM, AR 725760829 (Tel: 8708952541)

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Provider Name / Credentials Updated December 22, 2010

Recorded as MICHAEL MOODY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2010

General Practice (License #C-4622 in AR)

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Initial NPI Registration & Enumeration March 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063489821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2006
Last Update: December 22, 2010
Deactivation Date: January 16, 2020

Mailing Address

Po Box 829

Salem, AR 725760829

Phone: 8708952541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.