RICHARD L MOORE (MD) – Dermatology Physician, NPI 1386890572

RICHARD L MOORE (MD) is a healthcare provider. based in Lakeland, Florida. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. ME94273 (FL). The NPI Number for RICHARD L MOORE (MD) is 1386890572

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD L MOORE (MD)
NPI
1386890572
Phone
(863) 680-7000
Address
1600 LAKELAND HILLS BLVD
Enumeration Date
7 August 2008
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8137887867
Graduation Year
2004 (22 years ago)
PAC ID
8426117870
Group Practice PAC ID
1456258979
Professional Enrollment ID
I20081030000441
Address ID
FL335426648ZE6901XLNXX400

Contacts

Secure Messaging
rmoore6697@direct.watsonclinicad.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

1,366 DERMATOLOGY in FL

Provider Addresses for RICHARD L MOORE (MD)

  • 1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338053019

    Phone: (863) 680-7000

    Fax: (866) 264-2519

    Type: Mailing

  • 6901 MEDICAL VIEW LANE

    ZEPHYRHILLS, FL 335426648

    Phone: (813) 788-7867

    Fax: (866) 264-8519

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Janssen Biotech, Inc. ($22).

Total Amount

$45

General + Research + Ownership

Payments

3

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2008-10-30

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
I20081030000441IDermatologyFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,132361$0
99213Established patient office or other outpatient visit, 20-29 minutes995768$0
17000Destruction of precancer skin growth, 1 growth615482$0
88305Pathology examination of tissue using a microscope, intermediate complexity577355$0
11102Biopsy of related skin growth, first growth437363$0
View full utilization report →

Insurance plans in this area (ZIP 33805)

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Provider's Procedures

RICHARD L MOORE (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet9787
DERMATOLOGYFL14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1818

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: 1456258979View full group profile
NameSpecialtyState
Internal MedicineFL
A N E S T H E S I O L O G YFL
-FL
Physical Therapist In Private PracticeFL
Pulmonary Disease, Internal MedicineFL
-FL
Nurse PractitionerFL
Emergency MedicineFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do payers reference RICHARD L MOORE (MD)?
For RICHARD L MOORE (MD), use NPI 1386890572 as the unique 10-digit identifier.
Is RICHARD L MOORE (MD) shown as active in public data?
Registry records indicate RICHARD L MOORE (MD) maintains an active NPI.
What clinical focus is listed for RICHARD L MOORE (MD)?
At a glance, RICHARD L MOORE (MD) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is RICHARD L MOORE (MD) registered?
Use Lakeland, Florida as the headline location for RICHARD L MOORE (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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