DR. ARTHUR WILLIAM III MOORE (D.M.D.) – Dentist, NPI 1164564951
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
96 ORAL SURGERY in FL
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Provider Addresses for DR. ARTHUR WILLIAM III MOORE (D.M.D.)
6702 HAYTER DR
LAKELAND, FL 338133535
Phone: (863) 646-1559
Type: Mailing
2024, Edgewood Drive South, Lakeland, Polk County, Florida, 33803, United States
LAKELAND, FL 338033637
Phone: (863) 667-4726
Fax: (863) 665-8399
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2023-03-10 • Largest payer in this snapshot: ZIMVIE INC. ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $25 |
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: 2015-07-27
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 |
|---|---|---|---|---|
| I20150727000537 | I | Oral Surgery | FL | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 75 | 75 | $0 |
| 21085 | Impression and custom preparation of oral surgical splint | 56 | 56 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 36 | 35 | $0 |
Insurance plans in this area (ZIP 33813)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Dentist, Maxillofacial Surgery, Oral Surgery | FL | |
| Maxillofacial Surgery | FL | |
| P A T H O L O G Y | FL |
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