Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

John Moeller

General Practice β€’ Lubbock, TX

Active NPI 1134541832 Individual Practitioner Male Practitioner
Practice location in NPPES

12006 Vicksburg Ave
Lubbock, TX 794247745

Call 8065436590 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12006 Vicksburg Ave

Lubbock, TX 794247745

Telephone 8065436590

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Louisiana State University School Of Medicine In Shreveport

Graduation Year

1986

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

40 years (graduated 1986)

CMS Doctors and Clinicians data list 1986 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

John Moeller has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists John Moeller as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lubbock and Texas

5 active clinicians are listed under General Practice with a practice address in Lubbock, TX (1,066 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2019-12-09
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES TX J9217

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

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20251112000615

Enrollment State Jurisdiction

TX

PECOS Control ID

6305337932

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 09, 2019

Registered at 12006 VICKSBURG AVE, LUBBOCK, TX 794247745 (Tel: 8065436590)

πŸ“
Updated Business Mailing Address December 09, 2019

Registered at 12006 VICKSBURG AVE, LUBBOCK, TX 794247745

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2019

General Practice (license number reported to NPPES: TX J9217)

βœ…
NPI Profile Active January 14, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 14, 2014

Registered at 6209 KENOSHA DR, LUBBOCK, TX 794135430 (Tel: 8067840444)

πŸ“
Business Mailing Address (Initial Record) January 14, 2014

Registered at 6209 KENOSHA DR, LUBBOCK, TX 794135430

πŸ‘€
Provider Name / Credentials (Initial Record) January 14, 2014

Recorded as JOHN MOELLER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2014

Internal Medicine (license number reported to NPPES: TX J9217)

🟒
Initial NPI Registration & Enumeration January 14, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1134541832
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2014
Last Update: December 09, 2019
Sole Proprietor: No

Other General Practices in Lubbock

Healthcare providers in Lubbock

Mailing Address

12006 Vicksburg Ave

Lubbock, TX 794247745

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.