JOHANNA BARAN MOORE (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1851427595

JOHANNA BARAN MOORE (MD) is a healthcare provider. based in San luis obispo, California. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. A117062 (CA). The NPI Number for JOHANNA BARAN MOORE (MD) is 1851427595

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JOHANNA BARAN MOORE (MD)
NPI
1851427595
Phone
(805) 541-6033
Address
3701 S HIGUERA ST
Enumeration Date
26 February 2007
Last Update Date
30 August 2023

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8057373300
Graduation Year
2006 (20 years ago)
PAC ID
8022287457
Group Practice PAC ID
4284871658
Professional Enrollment ID
I20110801000745
Address ID
CA934367092LO1515XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,586 PATHOLOGY in CA

Provider Addresses for JOHANNA BARAN MOORE (MD)

  • 3701 S HIGUERA ST

    SAN LUIS OBISPO, CA 934017462

    Phone: (805) 541-6033

    Type: Mailing

  • 1414 E MAIN ST STE 102

    SANTA MARIA, CA 934544813

    Phone: (805) 548-1550

    Type: Mailing

  • 1400 E CHURCH ST

    SANTA MARIA, CA 934545906

    Phone: (805) 548-1550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,587.

Total Amount is formed as General ($1,587) + Research ($0) + Ownership ($0) = $1,587.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: GENZYME CORPORATION ($410).

Total Amount

$1,587

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,587

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-08-01

PECOS data refreshed: 2026-06-15

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
I20110801000745IPathologyCATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity4,1642,578$0
88341Special stained specimen slides to examine tissue, each additional procedure906400$0
88342Special stained specimen slides to examine tissue, initial procedure548448$0
88312Special stained specimen slides to identify organisms including interpretation and report543394$0
88304Pathology examination of tissue using a microscope, moderately low complexity219201$0
View full utilization report →

Insurance plans in this area (ZIP 93401)

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Provider's Procedures

JOHANNA BARAN MOORE (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYCA88304Pathology examination of tissue using a microscope, moderately low complexity168135

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: 4284871658View full group profile
NameSpecialtyState
P A T H O L O G YCA
P A T H O L O G YCO
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YMO
P A T H O L O G YCA
P A T H O L O G YMO
P A T H O L O G YCA
-CA

Reviews

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Frequently asked questions

Can I use this page to confirm JOHANNA BARAN MOORE (MD)'s NPI?
Yes. JOHANNA BARAN MOORE (MD) is listed with NPI 1851427595 in the public NPI dataset.
Does CMS list JOHANNA BARAN MOORE (MD) as active?
Yes — JOHANNA BARAN MOORE (MD) is active in the NPI listing used on this page.
What is JOHANNA BARAN MOORE (MD)'s primary classification?
Anatomic Pathology & Clinical Pathology Physician is the headline specialty for JOHANNA BARAN MOORE (MD) here. Clinical services aligned with this taxonomy classification.
Does JOHANNA BARAN MOORE (MD) list a practice location?
Patients near San Luis Obispo, California may find JOHANNA BARAN MOORE (MD) in results; validate coverage separately.
Why does JOHANNA BARAN MOORE (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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