LISA MARIE MOORE (DO) – Neurology Physician, NPI 1265993695
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
505 NEUROLOGY in CO
Provider Addresses for LISA MARIE MOORE (DO)
2312 N NEVADA AVE STE 100
COLORADO SPRINGS, CO 809075307
Phone: (719) 473-3272
Fax: (719) 389-1191
Type: Mailing
5725 MARK DABLING BLVD STE 100
COLORADO SPRINGS, CO 809192221
Phone: (719) 473-3272
Type: Location
395 W 12TH AVE FL 3
COLUMBUS, OH 432101267
Phone: (614) 293-3989
Fax: (614) 293-9789
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $206.
Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: PFIZER INC. ($49).
Total Amount
$206
General + Research + Ownership
Payments
9
Total payment records
General Amount
$206
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $49 |
| LivaNova USA, Inc. | $44 |
| Vanda Pharmaceuticals Inc. | $37 |
| ABBVIE INC. | $35 |
| Lundbeck LLC | $21 |
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: 2024-08-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240815001101 | I | Neurology | CO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80907)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| O P T O M E T R Y | CA | |
| - | CO | |
| Occupational Therapist In Private Practice | CO | |
| Physical Therapist In Private Practice | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Clinical Psychologist | CO | |
| - | CO | |
| Physician Assistant | CO |
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