DR. JASON L MOORE (M.D.) – Emergency Medicine Physician, NPI 1720049109
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,172 EMERGENCY MEDICINE in MN
Provider Addresses for DR. JASON L MOORE (M.D.)
1925 Woodwinds Dr
Woodbury, MN 551254445
Phone: (651) 232-0100
Type: Location
6071 W Outer Dr
Detroit, MI 482352624
Phone: (313) 966-3300
Type: Location
1575 Beam Ave
Maplewood, MN 551091126
Phone: (651) 232-7000
Type: Location
27400, Franklin Road, Southfield, Oakland County, Michigan, 48034, United States
#B707
SOUTHFIELD, MI 480342358
Phone:
Type: Mailing
45, 10th Street West, Downtown, Saint Paul, Ramsey County, Minnesota, 55102, United States
SAINT PAUL, MN 551021062
Phone: (651) 232-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Dexcom, Inc. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $24 |
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: 2012-02-27
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 |
|---|---|---|---|---|
| I20120227000122 | I | Emergency Medicine | IA | 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 | 417 | 368 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 159 | 144 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 46 | 44 | $0 |
| 99291 | Critical care, first 30-74 minutes | 25 | 23 | $0 |
Insurance plans in this area (ZIP 55125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Emergency Medicine | IA | |
| Emergency Medicine, Family Practice | IL | |
| Emergency Medicine, Family Practice, Family Practice | IA | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Nurse Practitioner | IL |
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