DR. ANIKA TENE MOORE (MD) – Obstetrics & Gynecology Physician, NPI 1114119732

DR. ANIKA TENE MOORE (MD) is a healthcare provider. based in Brockton, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 35.141435 (OH). The NPI Number for DR. ANIKA TENE MOORE (MD) is 1114119732

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANIKA TENE MOORE (MD)
NPI
1114119732
Phone
(508) 559-6699
Address
63 MAIN ST
Enumeration Date
16 August 2007
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
5132467000
Graduation Year
2005 (21 years ago)
PAC ID
1153464672
Group Practice PAC ID
1850570458
Professional Enrollment ID
I20210715004281
Address ID
OH452202475CI379XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,231 OBSTETRICS/GYNECOLOGY in MA

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Provider Addresses for DR. ANIKA TENE MOORE (MD)

  • 63, Main Street, Brockton, Plymouth County, Massachusetts, 02301, United States

    BROCKTON, MA 023014042

    Phone: (508) 559-6699

    Fax: (508) 559-5073

    Type: Mailing

  • 63 Main St

    Brockton, MA 02301

    Phone: (508) 559-6699

    Fax: (508) 559-5073

    Type: Location

  • 10506 MONTGOMERY RD STE 504

    MONTGOMERY, OH 452424400

    Phone: (513) 221-3800

    Fax: (513) 682-4520

    Type: Mailing

  • 3050 MACK RD

    STE 375

    FAIRFIELD, OH 450145378

    Phone: (508) 559-6699

    Fax: (508) 559-5073

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 107 Open Payments records for all available years, with a total value of $2,269.

Total Amount is formed as General ($2,269) + Research ($0) + Ownership ($0) = $2,269.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($573).

Total Amount

$2,269

General + Research + Ownership

Payments

107

Total payment records

General Amount

$2,269

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20100205000591IObstetrics/GynecologyCATBD
I20161128000176IObstetrics/GynecologyMATBD
I20210715004281IObstetrics/GynecologyOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1411$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1111$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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: 1850570458View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOH
Radiation OncologyOH
O T O L A R Y N G O L O G YOH
P O D I A T R YOH
Physician AssistantOH
H O S P I T A L I S TMD
Nurse PractitionerCO
H O S P I T A L I S TIL
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

How is DR. ANIKA TENE MOORE (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. ANIKA TENE MOORE (MD) with NPI 1114119732.
Is DR. ANIKA TENE MOORE (MD) still practicing?
DR. ANIKA TENE MOORE (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. ANIKA TENE MOORE (MD) hold?
Scheduling teams often label DR. ANIKA TENE MOORE (MD) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANIKA TENE MOORE (MD)?
DR. ANIKA TENE MOORE (MD)'s geographic hint is Brockton, Massachusetts in our summary view.
Why does DR. ANIKA TENE MOORE (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.