Nineteen of the Russian's twenty-one titles have been earned on hard surfaces
A resurgent the Russian player secured his maiden title for 882 days with a win over Frenchman Moutet in the competition championship match.
The Russian, a ex- number one, has had a torrid season, managing just a single victory at the major tournaments and suffering a difficult moment at the US Open.
The player's unpredictability on the ATP Tour - and struggles with his serving in particular - caused him dropping out of the world's top 10 and eventually parting ways with former mentor Cervara.
Currently working with Thomas Johansson and Rohan Goetzke, he has steadily advanced in the past month - peaking in a closely contested 7-5 4-6 6-3 triumph over Frenchman Moutet.
This marks the player's initial title following the Italian tournament and initial on a hard surface from March of the previous year.
Success also signifies the Russian has secured 21 victories at twenty-one different events.
"This marks the first occasion I'm at a tournament with my both daughters simultaneously, so to get a championship is really nice," said ranked player the champion.
"This victory is in honour of my child Victoria, because the maiden victory I won when my child Alisa was born was for her."
The athlete, the past champion, had failed in his past six finals, featuring in Halle in the past months.
Medvedev's counter-punching play style and frequent reactions on court had prompted commentators to doubt if his skill to perform at the top level was concluded.
However the 29-year-old has altered his approach in recent weeks, attempting to come to the net and perform positively, backed up by an better serve.
The champion recovered from a disadvantage in the initial set against the challenging opponent, taking four of the concluding five exchanges to go ahead.
The pair swapped breaks in the second set before the challenger, attempting for his maiden ATP Tour victory, gained dominance to push for a final set.
He saved four initial break points in a competitive final set before Medvedev secured a break to 15 to close out the victory.
Fittingly, the winner clinched the title with a rally at the net area, with the Frenchman incapable to manage a return after over two and a half hours.
