JACOB E MOORE (MD) – Emergency Medicine Physician, NPI 1154617058
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,682 EMERGENCY MEDICINE in MA
Provider Addresses for JACOB E MOORE (MD)
BMCHS PROVIDER ENROLLMENT
960 MASSACHUSETTS AVE FLR 2
BOSTON, MA 02118
Phone:
Type: Mailing
GSMC - EMERGENCY DEPARTMENT
235 NORTH PEARL ST
BROCKTON, MA 02301
Phone: (508) 427-3000
Type: Location
SEMC - Emergency Department
255 Washington St
Brighton, MA 02135
Phone: (508) 427-3000
Type: Location
2326 N LINCOLN PARK W APT 4B
CHICAGO, IL 606143446
Phone: (413) 441-0646
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: 2024-05-21
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 |
|---|---|---|---|---|
| I20140529000060 | I | Emergency Medicine | MA | TBD |
| I20240521002763 | I | Emergency Medicine | CA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 369 | 359 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 132 | 126 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 100 | 97 | $0 |
| 99291 | Critical care, first 30-74 minutes | 48 | 47 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 02118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | HI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Hospitalist, Internal Medicine | NY | |
| Diagnostic Radiology, Nuclear Medicine | CA | |
| Internal Medicine | FL | |
| Emergency Medicine | TX | |
| Internal Medicine, Family Practice | PA | |
| Emergency Medicine | UT | |
| Internal Medicine | CA | |
| Internal Medicine | MD |
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