DR. DOUGLAS WILLIAM MOORE (D.O.) – Obstetrics & Gynecology Physician, NPI 1417121492
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
382 OBSTETRICS/GYNECOLOGY in KS
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Provider Addresses for DR. DOUGLAS WILLIAM MOORE (D.O.)
Main Street, Winfield, Cowley County, Kansas, 67156, United States
WINFIELD, KS 671563604
Phone: (620) 221-3033
Type: Mailing
Physicians Pavilion, 1230, East 6th Avenue, Winfield, Cowley County, Kansas, 67156, United States
SUITE 2B
WINFIELD, KS 671563143
Phone: (620) 221-3033
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $808.
Total Amount is formed as General ($808) + Research ($0) + Ownership ($0) = $808.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($611).
Total Amount
$808
General + Research + Ownership
Payments
10
Total payment records
General Amount
$808
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $611 |
| Astellas Pharma US Inc | $103 |
| Sumitomo Pharma America, Inc. | $60 |
| ABBVIE INC. | $34 |
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: 2013-03-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130318000228 | I | Obstetrics/Gynecology | KS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67156)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | KS | |
| Nurse Practitioner | KS | |
| O P T O M E T R Y | KS | |
| Nurse Practitioner | KS | |
| Family Practice, Osteopathic Manipulative Medicine, Sports Medicine | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Clinical Social Worker | KS | |
| - | KS |
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