Doctor profile · Federal record
Dr. Maryam Moghaddam, DO
Obstetrics & Gynecology Physician (CMS: Obstetrics/Gynecology) · Maple Grove, MN
- NPI 1811958424
- Accepts Medicare
- MIPS 85.2 / 100 · 2023
- 42 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
14500 99Th Ave N
Maple Grove, MN 553694730
(763) 898-1000 - Mailing address
-
16973 Weaver Lake Dr
Maple Grove, MN 553111435
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- February 7, 2013
- Year of graduation
- 1984 — 42 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State license (1)
- Minnesota #31579
- Medicaid
- MN #309397200
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811958424. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,414
Distinct HCPCS
10
Medicare allowed
$25,641
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 3,096 | 30 | $0 | |
73030 |
X-ray of shoulder, minimum of 2 views | 42 | 36 | $35 | |
73630 |
X-ray of foot, minimum of 3 views | 39 | 28 | $35 | |
73562 |
X-ray of knee, 3 views | 32 | 26 | $41 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 28 | 26 | $311 | |
77067 |
Screening mammography | 28 | 28 | $131 | |
71260 |
Ct scan of chest with contrast | 27 | 25 | $113 | |
73130 |
X-ray of hand, minimum of 3 views | 27 | 17 | $38 | |
73110 |
X-ray of wrist, minimum of 3 views | 19 | 14 | $42 | |
73502 |
X-ray of hip, 2-3 views | 17 | 16 | $48 |
In context: peer comparison
Among 4 peers in Maple Grove Obstetrics & Gynecology Physician, average services per provider: 193. This provider delivers 18× the peer median.Frequently asked questions
What is Dr. Maryam Moghaddam's medical specialty?
Dr. Maryam Moghaddam practices Obstetrics & Gynecology Physician in Maple Grove, MN.
Where does Dr. Maryam Moghaddam practice?
Dr. Maryam Moghaddam practices at 14500 99Th Ave N, Maple Grove, MN 553694730. Office phone: 7638981000.
What is Dr. Maryam Moghaddam's NPI?
Dr. Maryam Moghaddam's National Provider Identifier (NPI) is 1811958424, issued by NPPES.
Does Dr. Maryam Moghaddam accept Medicare assignment?
Yes. Dr. Maryam Moghaddam accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Maryam Moghaddam commonly perform?
Top Medicare-reported procedures in 2023: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS Q9967); X-ray of shoulder, minimum of 2 views (HCPCS 73030); X-ray of foot, minimum of 3 views (HCPCS 73630). Source: CMS Medicare Physician & Other Practitioners file.