DR. DOUGLAS R MOORE (D.O.) – Clinical Cardiac Electrophysiology Physician, NPI 1194729053
Clinical Cardiac Electrophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 CARDIAC ELECTROPHYSIOLOGY in MI
Provider Addresses for DR. DOUGLAS R MOORE (D.O.)
25195 KELLY RD STE A
ROSEVILLE, MI 480664909
Phone: (586) 775-4594
Fax: (586) 775-4506
Type: Mailing
310 Lafayette Ave SE Ste 300
Grand Rapids, MI 495034693
Phone: (616) 685-3450
Fax: (616) 685-3454
Type: Location
1223 Mercy Dr
Muskegon, MI 494441829
Phone: (231) 672-3500
Fax: (231) 672-6199
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $1,018.
Total Amount is formed as General ($1,018) + Research ($0) + Ownership ($0) = $1,018.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($451).
Total Amount
$1,018
General + Research + Ownership
Payments
47
Total payment records
General Amount
$1,018
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-11-09
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 |
|---|---|---|---|---|
| I20041109001126 | I | Cardiac Electrophysiology | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 279 | 124 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 246 | 218 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 219 | 166 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 167 | 152 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 147 | 89 | $0 |
Insurance plans in this area (ZIP 48066)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC ELECTROPHYSIOLOGY | MI | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 36 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| - | MI | |
| - | MI | |
| N E U R O L O G Y | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| - | MI |
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