DR. JOSEPH ANDREW MOORE (MD) – Cardiovascular Disease Physician, NPI 1790719417

DR. JOSEPH ANDREW MOORE (MD) is a healthcare provider. based in Glencoe, Missouri. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. ME86388 (FL). The NPI Number for DR. JOSEPH ANDREW MOORE (MD) is 1790719417

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH ANDREW MOORE (MD)
NPI
1790719417
Phone
(904) 703-2882
Address
2026 WAKEFIELD LAKE DR
Enumeration Date
10 July 2006
Last Update Date
2 September 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
8286938019
Graduation Year
1987 (39 years ago)
PAC ID
8527952803
Group Practice PAC ID
8123938115
Professional Enrollment ID
I20201120002503
Address ID
NC287913455HE709XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

783 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MO

Provider Addresses for DR. JOSEPH ANDREW MOORE (MD)

  • 2026 WAKEFIELD LAKE DR

    GLENCOE, MO 630381210

    Phone: (904) 703-2882

    Type: Mailing

  • 2137 Pardoroyal Dr

    Suite 204

    Des Peres, MO 631311936

    Phone: (904) 703-2882

    Type: Location

  • 2026 Wakefield Lake Dr

    Glencoe, MO 630381210

    Phone: (904) 703-2882

    Type: Location

  • 800 N JUSTICE ST

    BOX 16

    HENDERSONVILLE, NC 287913410

    Phone: (828) 694-8350

    Fax: (828) 694-7654

    Type: Mailing

  • Citizens Memorial Hospital, 1500, North Oakland Avenue, Bolivar, Polk County, Missouri, 65613, United States

    BOLIVAR, MO 65613

    Phone: (417) 328-6040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $286.

Total Amount is formed as General ($286) + Research ($0) + Ownership ($0) = $286.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: ABIOMED ($187).

Total Amount

$286

General + Research + Ownership

Payments

6

Total payment records

General Amount

$286

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110601000449ICardiovascular Disease (Cardiology)MOTBD
I20201120002503ICardiovascular Disease (Cardiology)NCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,026867$0
99213Established patient office or other outpatient visit, 20-29 minutes320235$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function230224$0
99214Established patient office or other outpatient visit, 30-39 minutes185121$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes10397$0
View full utilization report →

Insurance plans in this area (ZIP 63038)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123938115View full group profile
NameSpecialtyState
Vascular Surgery, Thoracic Surgery, Thoracic Surgery, Cardiac SurgerySC
Family PracticeNC
Internal MedicineUT
Family PracticeNC
N E U R O P S Y C H I A T R YCA
Anesthesiology, Pain ManagementNC
Family PracticeNC
Nurse PractitionerNC
Radiation OncologyMO
Emergency Medicine, Critical Care (Intensivists)NC

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Frequently asked questions

How is DR. JOSEPH ANDREW MOORE (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JOSEPH ANDREW MOORE (MD) with NPI 1790719417.
Can I rely on DR. JOSEPH ANDREW MOORE (MD) being an active provider?
As of the registry snapshot, DR. JOSEPH ANDREW MOORE (MD) is marked active.
What is DR. JOSEPH ANDREW MOORE (MD) best known for clinically?
Directory data describes DR. JOSEPH ANDREW MOORE (MD) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JOSEPH ANDREW MOORE (MD)?
DR. JOSEPH ANDREW MOORE (MD)'s geographic hint is Glencoe, Missouri in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.