LOLONYA R MOORE (MD) – Obstetrics & Gynecology Physician, NPI 1083839120
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,735 OBSTETRICS/GYNECOLOGY in MI
Provider Addresses for LOLONYA R MOORE (MD)
30701 Woodward Ave
Suite S200
Royal Oak, MI 480730987
Phone: (248) 584-7600
Fax: (248) 584-7606
Type: Location
30701 WOODWARD AVENUE
SUITE S200
ROYAL OAK, MI 48073
Phone: (248) 584-7600
Fax: (248) 584-7606
Type: Mailing
30701 WOODWARD AVE
SUITE S200
ROYAL OAK, MI 480730987
Phone: (248) 584-7600
Fax: (248) 584-7606
Type: Location
326 N MAIN ST
ROYAL OAK, MI 480674121
Phone: (248) 584-7600
Fax: (248) 584-7606
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $561.
Total Amount is formed as General ($561) + Research ($0) + Ownership ($0) = $561.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Astellas Pharma US Inc ($128).
Total Amount
$561
General + Research + Ownership
Payments
26
Total payment records
General Amount
$561
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $128 |
| Sumitomo Pharma America, Inc. | $109 |
| MAYNE PHARMA COMMERCIAL LLC | $94 |
| ABBVIE INC. | $62 |
| Sage Therapeutics, Inc. | $50 |
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: 2008-08-21
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 |
|---|---|---|---|---|
| I20080821000658 | I | Obstetrics/Gynecology | MI | 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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 14 | 14 | $0 |
Insurance plans in this area (ZIP 48073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Certified Nurse Midwife (Cnm) | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Physician Assistant | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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