RAY JEMISON III MOORE (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1346244076

RAY JEMISON III MOORE (M.D.) is a healthcare provider. based in Huntsville, Alabama. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 20131 (AL). The NPI Number for RAY JEMISON III MOORE (M.D.) is 1346244076

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
RAY JEMISON III MOORE (M.D.)
NPI
1346244076
Phone
(256) 533-1480
Address
2904 WESTCORP BLVD SW
Enumeration Date
10 June 2005
Last Update Date
18 July 2008

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2563275905
Graduation Year
1995 (31 years ago)
PAC ID
6608958160
Group Practice PAC ID
1254328495
Professional Enrollment ID
I20100330000287
Address ID
AL358050001HU3601XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

260 PATHOLOGY in AL

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Provider Addresses for RAY JEMISON III MOORE (M.D.)

  • 2904, Westcorp Boulevard Southwest, West Huntsville, Huntsville, Madison County, Alabama, 35805, United States

    SUITE 108

    HUNTSVILLE, AL 358056437

    Phone: (256) 533-1480

    Fax: (256) 536-4158

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100330000287IPathologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
84165Protein measurement, serum831692$0
88305Pathology examination of tissue using a microscope, intermediate complexity783472$0
86334Immunologic analysis technique on serum (immunofixation)582552$0
88341Special stained specimen slides to examine tissue, each additional procedure523116$0
88342Special stained specimen slides to examine tissue, initial procedure204181$0
View full utilization report →

Insurance plans in this area (ZIP 35805)

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Provider's Procedures

RAY JEMISON III MOORE (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYAL88304Pathology examination of tissue using a microscope, moderately low complexity133122
PATHOLOGYAL88307Pathology examination of tissue using a microscope, moderately high complexity177130

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254328495View full group profile
NameSpecialtyState
P A T H O L O G YAL
Internal Medicine, Medical Oncology, Hematology/OncologyAL
Nurse PractitionerAL
Hematology/Oncology, Hospice/Palliative Care, Internal MedicineTN
Hematology/Oncology, Internal MedicineAL
-AL
Nurse PractitionerAL
-AL
Nurse PractitionerAL
Medical Oncology, HematologyAL

Reviews

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Frequently asked questions

How do payers reference RAY JEMISON III MOORE (M.D.)?
For RAY JEMISON III MOORE (M.D.), use NPI 1346244076 as the unique 10-digit identifier.
Is RAY JEMISON III MOORE (M.D.) still an active registrant?
RAY JEMISON III MOORE (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with RAY JEMISON III MOORE (M.D.)?
RAY JEMISON III MOORE (M.D.)'s record emphasizes Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is RAY JEMISON III MOORE (M.D.) associated with Huntsville?
Public fields place RAY JEMISON III MOORE (M.D.) around Huntsville, Alabama. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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