Doctor profile · Federal record
Dr. Leticia Moedano, MD
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Santa Fe, NM
- NPI 1831688647
- Accepts Medicare
- 8 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2025 Galisteo St
Santa Fe, NM 875052101
(602) 655-6300 - Mailing address
-
2177 S 29Th Ave
Yuma, AZ 853646042
Credentials & registration
- NPI registered
- May 2018 — 8 yrs on file
- Profile last updated
- January 13, 2023
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- New Mexico #MD2022-1484 · Arizona #63273
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1831688647. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
539
Distinct HCPCS
10
Medicare allowed
$65,002
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 176 | 114 | $123 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 69 | 53 | $170 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 50 | 50 | $162 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 46 | 41 | $86 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 45 | 45 | $125 | |
G0008 |
Administration of influenza virus vaccine | 36 | 36 | $29 | |
90662 |
Influenza vaccine split virus, preservative free | 34 | 34 | $43 | |
99496 |
Transitional care management services for problem of high complexity | 21 | 20 | $255 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | 20 | $215 | |
G0009 |
Administration of pneumococcal vaccine | 18 | 18 | $29 |
In context: peer comparison
Among 25 peers in Santa Fe Family Medicine Physician, average services per provider: 93. This provider delivers 5.8× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
468
Patients
152
Total drug cost
$14,702
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 65 | 26 | $984 |
| Lisinopril | Generic | 63 | 21 | $498 |
| Levothyroxine Sodium | Generic | 42 | 21 | $838 |
| Metformin Hcl | Generic | 37 | 12 | $448 |
| Fluticasone Propionate | Generic | 35 | 20 | $591 |
| Gabapentin | Generic | 33 | 12 | $425 |
| Amlodipine Besylate | Generic | 29 | 13 | $338 |
| Losartan Potassium | Generic | 26 | 15 | $570 |
| Montelukast Sodium | Generic | 25 | 0 | $416 |
| Omeprazole | Generic | 25 | 12 | $389 |
Frequently asked questions
What is Dr. Leticia Moedano's medical specialty?
Dr. Leticia Moedano practices Family Medicine Physician in Santa Fe, NM.
Where does Dr. Leticia Moedano practice?
Dr. Leticia Moedano practices at 2025 Galisteo St, Santa Fe, NM 875052101. Office phone: 6026556300.
What is Dr. Leticia Moedano's NPI?
Dr. Leticia Moedano's National Provider Identifier (NPI) is 1831688647, issued by NPPES.
Does Dr. Leticia Moedano accept Medicare assignment?
Yes. Dr. Leticia Moedano accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Leticia Moedano commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99215); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.