DR. THOMAS J MOORE (MD) – Orthopaedic Trauma Physician, NPI 1063517597

DR. THOMAS J MOORE (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 35481 (GA). The NPI Number for DR. THOMAS J MOORE (MD) is 1063517597

Main info

Male
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS J MOORE (MD)
NPI
1063517597
Phone
(404) 778-1550
Address
49 JESSE HILL JR DR SE
Enumeration Date
13 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
7704870760
Graduation Year
1975 (51 years ago)
PAC ID
1355535873
Group Practice PAC ID
3577470442
Professional Enrollment ID
I20101028001233
Address ID
GA302696524PE3200XHLXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

933 ORTHOPEDIC SURGERY in GA

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Provider Addresses for DR. THOMAS J MOORE (MD)

  • 49, Jesse Hill Junior Drive Southeast, Sweet Auburn, Old Fourth Ward, Atlanta, Fulton County, Georgia, 30303, United States

    SUITE 301

    ATLANTA, GA 303033049

    Phone: (404) 778-1550

    Fax: (404) 778-1552

    Mailing address matches the actual address.

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 $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-12-07 • Largest payer in this snapshot: IlluminOss Medical, Inc. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
IlluminOss Medical, Inc.$28
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: 2010-10-28

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
I20101028001233IOrthopedic SurgeryGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30303)

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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: 3577470442View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. THOMAS J MOORE (MD) in the U.S.?
In the U.S., DR. THOMAS J MOORE (MD) is identified by NPI 1063517597.
Is DR. THOMAS J MOORE (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. THOMAS J MOORE (MD) as active.
What services align with DR. THOMAS J MOORE (MD)'s listing?
DR. THOMAS J MOORE (MD)'s public classification highlights Orthopaedic Trauma Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. THOMAS J MOORE (MD) in Atlanta, Georgia?
For routing, start with Atlanta, Georgia for DR. THOMAS J MOORE (MD), then verify phone and hours locally.
Who maintains DR. THOMAS J MOORE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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