OMAR JISHI MOORE (M.D.) – Clinical Neurophysiology Physician, NPI 1487072245
Clinical Neurophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,188 NEUROLOGY in IL
Provider Addresses for OMAR JISHI MOORE (M.D.)
3003 CLAIRE LN STE 100
JACKSONVILLE, FL 322236667
Phone: (904) 204-6585
Fax: (850) 390-7195
Type: Mailing
1981 ANGELICA LN
BARTLETT, IL 601032308
Phone: (855) 864-4322
Fax: (866) 540-2867
Type: Location
PO BOX 41113
JACKSONVILLE, FL 322031113
Phone: (904) 376-4400
Fax: (904) 391-5595
Type: Mailing
841 PRUDENTIAL DR FL 10
JACKSONVILLE, FL 322078329
Phone: (904) 398-5404
Fax: (904) 391-5545
Type: Location
7807 Baymeadows Rd E Ste 303
Jacksonville, FL 322569667
Phone: (904) 204-6585
Fax: (850) 390-7195
Type: Location
7807 BAYMEADOWS RD E STE 303
JACKSONVILLE, FL 322569667
Phone: (904) 204-6585
Fax: (850) 390-7195
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $176.
Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($70).
Total Amount
$176
General + Research + Ownership
Payments
8
Total payment records
General Amount
$176
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $70 |
| Lundbeck LLC | $49 |
| Teva Pharmaceuticals USA, Inc. | $25 |
| Averitas Pharma Inc. | $19 |
| Otsuka America Pharmaceutical, Inc. | $13 |
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: 2025-07-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20190530000362 | I | Neurology | FL | TBD |
| I20210819000313 | I | Neurology | NC | TBD |
| I20221101003130 | I | Neurology | IL | TBD |
| I20240507004321 | I | Neurology | TX | TBD |
| I20250730003897 | I | Neurology | MS | 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 |
|---|---|---|---|---|
| 95955 | Measurement of brain wave activity (eeg) outside the brain during surgery | 358 | 348 | $0 |
| 95938 | Placement of skin electrodes and measurement of stimulated sites on arms and legs | 315 | 305 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 190 | 95 | $0 |
| 95861 | Needle measurement of electrical activity in arm or leg muscles, 2 extremities | 149 | 145 | $0 |
| 95939 | Placement of skin electrodes and measurement of central motor stimulation in arms and legs | 117 | 115 | $0 |
Insurance plans in this area (ZIP 32223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| N E U R O L O G Y | TX | |
| - | CO | |
| - | NV | |
| - | NV | |
| Physical Medicine And Rehabilitation | WI | |
| N E U R O L O G Y | NH |
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