DR. KEVIN JOSEPH MOORE (MD, MPH) – Student in an Organized Health Care Education/Training Program, NPI 1164927042
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
Provider Addresses for DR. KEVIN JOSEPH MOORE (MD, MPH)
55 FRUIT ST # BH616
BOSTON, MA 021142621
Phone: (617) 726-5254
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $711.
Total Amount is formed as General ($711) + Research ($0) + Ownership ($0) = $711.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($203).
Total Amount
$711
General + Research + Ownership
Payments
35
Total payment records
General Amount
$711
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $203 |
| Incyte Corporation | $133 |
| GENZYME CORPORATION | $117 |
| Janssen Biotech, Inc. | $50 |
| Regeneron Healthcare Solutions, Inc. | $48 |
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: 2023-08-15
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 |
|---|---|---|---|---|
| I20230815004243 | I | Dermatology | MA | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 122 | 105 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 65 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 73 | 16 | $0 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 71 | 54 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 47 | 34 | $0 |
Insurance plans in this area (ZIP 02114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | RI | |
| Micrographic Dermatologic Surgery (Mds), Dermatology, Dermatology | MA | |
| D E R M A T O L O G Y | MA | |
| Physician Assistant | MA | |
| D E R M A T O L O G Y | MA | |
| Physician Assistant | MD | |
| Physician Assistant | MA |
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