DYLAN RICHARD MOORE (MD) – Family Medicine Physician, NPI 1730702580
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,661 FAMILY PRACTICE in CO
Provider Addresses for DYLAN RICHARD MOORE (MD)
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 805389071
Phone: (970) 624-2420
Type: Mailing
6615 DELMONICO DR
COLORADO SPRINGS, CO 809191809
Phone: (719) 364-9494
Fax: (719) 364-9761
Type: Location
350 Printers Pkwy
Colorado Springs, CO 809103190
Phone: (719) 632-5700
Type: Location
111 6th St
Hugo, CO 808212002
Phone: (719) 743-2421
Type: Location
3205 N ACADEMY BLVD STE 130
COLORADO SPRINGS, CO 809175152
Phone: (719) 632-5700
Type: Mailing
350 PRINTERS PKWY
COLORADO SPRINGS, CO 809103190
Phone: (719) 632-5700
Type: Location
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: 2020-08-25
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 |
|---|---|---|---|---|
| I20200825001222 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 18 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 16 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 11 | 11 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 11 | 11 | $0 |
Insurance plans in this area (ZIP 80538)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| O T O L A R Y N G O L O G Y | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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