DR. JONATHAN M MOORE (DPM) – Podiatrist, NPI 1063670602
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 PODIATRY in OH
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Provider Addresses for DR. JONATHAN M MOORE (DPM)
840, Northwest Washington Boulevard, Hamilton, Butler County, Ohio, 45013, United States
STE. A
HAMILTON, OH 450136384
Phone: (513) 867-4165
Fax: (513) 867-4168
Type: Mailing
University of Cincinnati Medical Center, 234, Goodman Street, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45219-2364, United States
CINCINNATI, OH 452192364
Phone: (513) 558-3668
Fax: (513) 558-3668
Type: Location
3248 WESTBOURNE DR STE 1
CINCINNATI, OH 452485146
Phone: (513) 662-3900
Fax: (513) 662-3933
Type: Mailing
32743 23 MILE RD STE 210
CHESTERFIELD, MI 480472176
Phone: (708) 424-3201
Fax: (708) 424-5001
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $400.
Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Kerecis Limited ($221).
Total Amount
$400
General + Research + Ownership
Payments
9
Total payment records
General Amount
$400
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $221 |
| Exact Sciences Corporation | $45 |
| TREACE MEDICAL CONCEPTS, INC. | $32 |
| Novo Nordisk Inc | $30 |
| Cepheid | $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: 2008-08-07
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 |
|---|---|---|---|---|
| I20080807000006 | I | Podiatry | OH | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 245 | 179 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 71 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 19 | $0 |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 14 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 45013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Physician Assistant | KY | |
| Nurse Practitioner | OH | |
| Physical Medicine And Rehabilitation | OH | |
| Family Practice | FL | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Family Practice | LA | |
| Family Practice | OH | |
| Family Practice | TX |
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