KEITH R MOORE (DO) – Gastroenterology Physician, NPI 1760471304

KEITH R MOORE (DO) is a healthcare provider. based in Orlando, Florida. specializing in GASTROENTEROLOGY. They hold the professional credentials DO. They hold a License No. OS6231 (FL). The NPI Number for KEITH R MOORE (DO) is 1760471304

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
KEITH R MOORE (DO)
NPI
1760471304
Phone
(407) 277-8665
Address
10800 DYLAN LOREN CIR
Enumeration Date
17 October 2005
Last Update Date
6 July 2022

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4078515600
Graduation Year
1982 (44 years ago)
PAC ID
4385713338
Group Practice PAC ID
2365440567
Professional Enrollment ID
I20101007001108
Address ID
FL328066257OR3885XCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,474 GASTROENTEROLOGY in FL

Provider Addresses for KEITH R MOORE (DO)

  • 10800 DYLAN LOREN CIR

    SUITE 102

    ORLANDO, FL 328254437

    Phone: (407) 277-8665

    Fax: (407) 277-1267

    Type: Mailing

  • 9500 S DADELAND BLVD

    STE 200

    MIAMI, FL 331562866

    Phone: (786) 530-3820

    Fax: (305) 675-3378

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 122 Open Payments records for all available years, with a total value of $2,253.

Total Amount is formed as General ($2,253) + Research ($0) + Ownership ($0) = $2,253.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($543).

Total Amount

$2,253

General + Research + Ownership

Payments

122

Total payment records

General Amount

$2,253

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2010-10-07

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
I20101007001108IGastroenterologyFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes315215$0
99214Established patient office or other outpatient visit, 30-39 minutes124103$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope8381$0
45380Biopsy of large bowel using a flexible endoscope6969$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare5757$0
View full utilization report →

Insurance plans in this area (ZIP 32825)

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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: 2365440567View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
Nurse PractitionerFL
-FL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL
-FL
-FL
-FL

Reviews

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Frequently asked questions

What is the standard ID for KEITH R MOORE (DO) in the U.S.?
In the U.S., KEITH R MOORE (DO) is identified by NPI 1760471304.
Is KEITH R MOORE (DO)'s NPI status active today?
Active status means KEITH R MOORE (DO)'s NPI record is not deactivated in the public file.
Which specialty label fits KEITH R MOORE (DO)?
NPPES ties KEITH R MOORE (DO) to Gastroenterology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KEITH R MOORE (DO) in Orlando, Florida?
For routing, start with Orlando, Florida for KEITH R MOORE (DO), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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