Samuel Moody, PA-C
NPI 1710655584 · Medical Physician Assistant · Portland, OR
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Moody, PA-C is a Medical Physician Assistant provider in Portland, OR (NPI 1710655584).
Provider details
- NPI number
- 1710655584
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA217671 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
48 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy and Aspiration of Bone Marrow Sample for Diagnosis38222 | 27 | $63 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 21 | $14 |
Typical Medicare-allowed amounts for these services range $14–$63 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-05
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Frequently asked questions
- What is Samuel Moody's NPI number?
- Samuel Moody's National Provider Identifier (NPI) is 1710655584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Moody's specialty?
- Samuel Moody is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samuel Moody located?
- Samuel Moody's practice location on file with NPPES is 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011.
- What is Samuel Moody's phone number?
- The practice phone number listed in the NPPES registry for Samuel Moody is (503) 494-6596.
- Does Samuel Moody accept Medicare?
- Samuel Moody is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Moody's NPI active?
- Yes — Samuel Moody's NPI (1710655584) is active in the NPPES registry as of the last update on 2024-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.