DR. JEFFERSON EADDY CARTER MOULDS M.D. NPI 1265420582

NPI Information

NPI: 1265420582
Provider Name: DR. JEFFERSON EADDY CARTER MOULDS, M.D.
Classification: Radiology - 2085R0001X
Specialization: Radiation Oncology
Entity Type: Individual
PECOS Registration: Yes
Address: 20480 MARKET STREET
ONANCOCK, VA
ZIP 23417
Phone: (757) 302-2600

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NPI Details

DR. Jefferson Eaddy Carter Moulds, M.D. is a radiation oncology radiology in Onancock, VA with 31 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Jefferson Eaddy Carter Moulds, M.D. NPI is 1265420582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

20480 MARKET STREET
ONANCOCK, VA
ZIP 23417-430
Phone: (757) 302-2600
Fax: (757) 789-0631

The NPI 1265420582 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
Calculation of radiation therapy dose (HCPCS:77300)
Radiation treatment management, 5 treatment sessions (HCPCS:77427)
Design and construction of complex radiation treatment device (HCPCS:77334)
New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
Complex radiation therapy planning (HCPCS:77263)
Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
High precision radiation therapy planning (HCPCS:77301)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
Special radiation treatment (HCPCS:77470)
Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
3d radiation therapy planning (HCPCS:77295)

The enumeration date for this NPI number is 10/11/2005 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	D50244	MARYLAND	No
2	2085R0001X	Radiology	Radiation Oncology	21925	DISTRICT OF COLUMBIA	No
3	2085R0001X	Radiology	Radiation Oncology	0101052934	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1265420582	MEDICAID	VIRGINIA
2	342750	OTHER	VIRGINIA	ANTHEM BCBS
3	2176156	OTHER	VIRGINIA	MAMSI/UNITED HEALTHCARE
4	9558847	OTHER	VIRGINIA	CIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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