COLLEEN JOHNSON MOORE (M.D.) – Vascular Surgery Physician, NPI 1801877923
Vascular Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
240 VASCULAR SURGERY in IL
Provider Addresses for COLLEEN JOHNSON MOORE (M.D.)
619 E MASON ST STE 4P57
SPRINGFIELD, IL 627011034
Phone: (217) 788-0706
Fax: (217) 525-2535
Type: Mailing
21 DOCTORS PARK STE A
CAPE GIRARDEAU, MO 637034927
Phone: (573) 837-4131
Fax: (573) 837-4132
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $267.
Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.
Last reported payment date: 2024-03-26 • Largest payer in this snapshot: CVRx, Inc. ($201).
Total Amount
$267
General + Research + Ownership
Payments
6
Total payment records
General Amount
$267
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CVRx, Inc. | $201 |
| E.R. Squibb & Sons, L.L.C. | $40 |
| Koya Medical, Inc. | $26 |
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: 2013-07-15
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 |
|---|---|---|---|---|
| I20050921000235 | I | Vascular Surgery | IL | TBD |
| I20130715000643 | I | Vascular Surgery | 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 |
|---|---|---|---|---|
| 93880 | Ultrasound of both sides of head and neck blood flow | 327 | 326 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 128 | 121 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 113 | 112 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 97 | 92 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 69 | $0 |
Insurance plans in this area (ZIP 62701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | MO | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 13 | 11 |
| VASCULAR SURGERY | MO | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 17 | 16 |
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