DR. JIMMY L JR. MOSS (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1275845208
Critical Care Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
584 CRITICAL CARE (INTENSIVISTS) in MO
Provider Addresses for DR. JIMMY L JR. MOSS (MD)
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Mailing
12634 OLIVE BLVD
DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 631416337
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Location
12634 OLIVE BLVD DEPT OF
SAINT LOUIS, MO 631416337
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Location
660 S EUCLID AVE
CB 8054
SAINT LOUIS, MO 631101010
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170727003913 | I | Critical Care (Intensivists) | IL | TBD |
| I20200505001648 | I | Critical Care (Intensivists) | MO | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 123 | 110 | $0 |
| 99292 | Critical care, each additional 30 minutes | 60 | 43 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 32 | 30 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 17 | 16 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 15 | 15 | $0 |
Insurance plans in this area (ZIP 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | IL | |
| Medical Oncology, Internal Medicine | IL | |
| Radiation Oncology | IL | |
| Radiation Oncology | IL | |
| Radiation Oncology | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Critical Care (Intensivists), Anesthesiology | IL | |
| - | IL | |
| Physician Assistant | IL |
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