BRIAN LAWRENCE MOORE (MD) – Obstetrics & Gynecology Physician, NPI 1992817472

BRIAN LAWRENCE MOORE (MD) is a healthcare provider. based in Merced, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. A87523 (CA). The NPI Number for BRIAN LAWRENCE MOORE (MD) is 1992817472

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN LAWRENCE MOORE (MD)
NPI
1992817472
Phone
(509) 564-3700
Address
315 MERCY AVE
Enumeration Date
31 August 2006
Last Update Date
3 January 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
20934984592245
Graduation Year
1999 (27 years ago)
PAC ID
7416924543
Group Practice PAC ID
1456638238
Professional Enrollment ID
I20040916000718
Address ID
CA953400978ME3349XSTXX302
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

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for BRIAN LAWRENCE MOORE (MD)

  • 315, Mercy Avenue, Merced, Merced County, California, 95340, United States

    SUITE 400

    MERCED, CA 953408368

    Phone: (509) 564-3700

    Fax: (209) 564-3799

    Type: Location

  • 315 Mercy Ave

    Suite 400

    Merced, CA 953408368

    Phone: (509) 564-3700

    Fax: (209) 564-3799

    Type: Location

  • 3400, Data Drive, Rancho Cordova, Sacramento County, California, 95670, United States

    PHYSICIAN SUPPORT SERVICES - 2ND FL

    RANCHO CORDOVA, CA 956707956

    Phone:

    Type: Mailing

  • 3349 G ST STE B

    MERCED, CA 953400978

    Phone: (209) 349-8459

    Type: Location

  • 3349 G ST STE F

    MERCED, CA 953400978

    Phone: (209) 349-8459

    Type: Mailing

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: 2004-09-16

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
I20040916000718IObstetrics/GynecologyCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3426$0
View full utilization report →

Insurance plans in this area (ZIP 95340)

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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: 1456638238View full group profile
NameSpecialtyState
Family PracticeCA
O T O L A R Y N G O L O G YCA
Family Practice, Emergency MedicineCA
Obstetrics/Gynecology, Family PracticeCA
Gastroenterology, Internal MedicineCA
Family PracticeCA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

What NPI should I save for BRIAN LAWRENCE MOORE (MD)?
Save NPI 1992817472 if you need a stable reference for BRIAN LAWRENCE MOORE (MD).
Is BRIAN LAWRENCE MOORE (MD) currently active in the NPI registry?
CMS-published data lists BRIAN LAWRENCE MOORE (MD) as an active registrant.
Does BRIAN LAWRENCE MOORE (MD) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for BRIAN LAWRENCE MOORE (MD). Clinical services aligned with this taxonomy classification.
What location shows for BRIAN LAWRENCE MOORE (MD)?
We surface Merced, California for BRIAN LAWRENCE MOORE (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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