DR. JACQUELINE MCCLELLAN MOORE (D.O.) – Internal Medicine Physician, NPI 1437319407
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,230 HOSPITALIST in MI
Provider Addresses for DR. JACQUELINE MCCLELLAN MOORE (D.O.)
1000 Pavilions Cir
Traverse City, MI 496843198
Phone: (231) 932-3000
Type: Location
550 Munson Ave
Traverse City, MI 496863580
Phone: (231) 935-6520
Type: Location
Aroma's Coffee & Tea, 10850, East Traverse Highway, Traverse City, Leelanau County, Michigan, 49684, United States
STE 4400
TRAVERSE CITY, MI 496841364
Phone: (231) 346-6800
Fax: (231) 346-6096
Type: Mailing
Munson Medical Center, 1105, Sixth Street, Grand Traverse Commons, Traverse City, Grand Traverse County, Michigan, 49684, United States
TRAVERSE CITY, MI 496842349
Phone: (231) 935-5800
Fax: (231) 935-5885
Type: Location
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: 2011-11-21
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 |
|---|---|---|---|---|
| I20111121000852 | I | Hospitalist | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 174 | 111 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 146 | 142 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 118 | 82 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 101 | 99 | $0 |
Insurance plans in this area (ZIP 49684)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Hospitalist, Internal Medicine | LA | |
| Hospitalist, Internal Medicine | OH | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine, Hospitalist, Internal Medicine | WA | |
| Hospitalist, Internal Medicine | MI | |
| Internal Medicine | UT | |
| Physician Assistant | OH |
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