DR. MEAGAN W MOORE (MD, PHD) – Pulmonary Disease Physician, NPI 1154596997

DR. MEAGAN W MOORE (MD, PHD) is a healthcare provider. based in South portland, Maine. specializing in INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD, PHD. They hold a License No. 052675 (CT). The NPI Number for DR. MEAGAN W MOORE (MD, PHD) is 1154596997

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEAGAN W MOORE (MD, PHD)
NPI
1154596997
Phone
(207) 828-1122
Address
100 FODEN RD STE 103
Enumeration Date
23 April 2008
Last Update Date
17 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
2078578174
Graduation Year
2008 (18 years ago)
PAC ID
6204156839
Group Practice PAC ID
6103737812
Professional Enrollment ID
I20170414000417
Address ID
ME040923188WE40XXXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:18State licenses:2Digital endpointsOther names

918 INTERNAL MEDICINE in ME

Provider Addresses for DR. MEAGAN W MOORE (MD, PHD)

  • 100 FODEN RD STE 103

    SOUTH PORTLAND, ME 041062327

    Phone: (207) 828-1122

    Fax: (207) 828-0188

    Type: Mailing

  • 111 Franklin Health Cmns

    Farmington, ME 049386144

    Phone: (207) 779-2734

    Fax: (207) 779-2157

    Type: Location

  • 96 Campus Drive

    Scarborough, ME 04074

    Phone: (207) 661-4247

    Type: Location

  • 20 York St

    T-209

    New Haven, CT 065103220

    Phone: (203) 688-2259

    Fax: (203) 688-5599

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $233.

Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: United Therapeutics Corporation ($123).

Total Amount

$233

General + Research + Ownership

Payments

2

Total payment records

General Amount

$233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-04-14

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
I20170414000417IInternal MedicineMETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7867$0
99213Established patient office or other outpatient visit, 20-29 minutes6665$0
99291Critical care, first 30-74 minutes6147$0
94729Test to examine how well the lungs exchange gases4947$0
94726Test to determine lung volumes using sensors4745$0
View full utilization report →

Insurance plans in this area (ZIP 04106)

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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: 6103737812View full group profile
NameSpecialtyState
-ME
-VT
-ME
Nurse PractitionerPA
-ME
Family PracticeME
-ME
Nurse PractitionerNY
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)ME

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MEAGAN W MOORE (MD, PHD)'s NPI?
Yes. DR. MEAGAN W MOORE (MD, PHD) is listed with NPI 1154596997 in the public NPI dataset.
Is DR. MEAGAN W MOORE (MD, PHD) still practicing?
DR. MEAGAN W MOORE (MD, PHD) is currently listed as active in the public NPI registry.
What is DR. MEAGAN W MOORE (MD, PHD) best known for clinically?
Directory data describes DR. MEAGAN W MOORE (MD, PHD) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MEAGAN W MOORE (MD, PHD) on a map?
Expect South Portland, Maine as a primary anchor for DR. MEAGAN W MOORE (MD, PHD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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