DR. PAUL HAROLD JR. MOORE (MD) – Diagnostic Radiology Physician, NPI 1629098587
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. PAUL HAROLD JR. MOORE (MD)
1365, Market Street, East Pascagoula, Pascagoula, Jackson County, Mississippi, 39567, United States
PASCAGOULA, MS 395676604
Phone: (228) 762-1353
Fax: (228) 762-1359
Type: Mailing
Singing River Hospital, 2809, Denny Avenue, Pascagoula, Jackson County, Mississippi, 39581, United States
PASCAGOULA, MS 395815301
Phone: (228) 762-1353
Fax: (228) 762-1359
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Axonics, Inc. ($186).
Total Amount
$215
General + Research + Ownership
Payments
4
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $186 |
| Janssen Biotech, Inc. | $29 |
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: 2010-06-17
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 |
|---|---|---|---|---|
| I20100617000282 | I | Diagnostic Radiology | MS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 39567)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | LA | |
| Diagnostic Radiology | MS | |
| - | MS | |
| - | MS |
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