DR. LINDSEY NICOLE MOORE (M.D.) – Dermatology Physician, NPI 1063702371

DR. LINDSEY NICOLE MOORE (M.D.) is a healthcare provider. based in Dover, Ohio. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 35.124199 (OH). The NPI Number for DR. LINDSEY NICOLE MOORE (M.D.) is 1063702371

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. LINDSEY NICOLE MOORE (M.D.)
NPI
1063702371
Phone
(330) 365-9825
Address
400 MEDICAL PARK DR STE 201
Enumeration Date
8 April 2011
Last Update Date
18 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303642700
Graduation Year
2011 (15 years ago)
PAC ID
9234363037
Group Practice PAC ID
0143366591
Professional Enrollment ID
I20150623000430
Address ID
OH446223207DO400XXDRXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

607 DERMATOLOGY in OH

Provider Addresses for DR. LINDSEY NICOLE MOORE (M.D.)

  • 400 MEDICAL PARK DR STE 201

    DOVER, OH 446223207

    Phone: (330) 365-9825

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $597.

Total Amount is formed as General ($597) + Research ($0) + Ownership ($0) = $597.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($177).

Total Amount

$597

General + Research + Ownership

Payments

24

Total payment records

General Amount

$597

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2015-06-23

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150623000430IDermatologyOHTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,071321$0
99213Established patient office or other outpatient visit, 20-29 minutes746624$0
17000Destruction of precancer skin growth, 1 growth525390$0
99214Established patient office or other outpatient visit, 30-39 minutes421349$0
17110Destruction of skin growth, 1-14 growths202173$0
View full utilization report →

Insurance plans in this area (ZIP 44622)

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Provider's Procedures

DR. LINDSEY NICOLE MOORE (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMO11101Biopsy of each additional growth of skin and/or tissue15476
DERMATOLOGYMO17003Destruction of 2-14 skin growths1655250

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: 0143366591View full group profile
NameSpecialtyState
Internal MedicineOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Vascular Surgery, Cardiovascular Disease (Cardiology)AZ
Internal Medicine, Emergency Medicine, Cardiovascular Disease (Cardiology)PA
-OH
Nurse PractitionerOH

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Frequently asked questions

What is DR. LINDSEY NICOLE MOORE (M.D.)'s NPI number?
DR. LINDSEY NICOLE MOORE (M.D.)'s NPI is 1063702371 — the number used across U.S. healthcare to identify this provider.
Is DR. LINDSEY NICOLE MOORE (M.D.) shown as active in public data?
Registry records indicate DR. LINDSEY NICOLE MOORE (M.D.) maintains an active NPI.
What kind of doctor is DR. LINDSEY NICOLE MOORE (M.D.)?
DR. LINDSEY NICOLE MOORE (M.D.) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. LINDSEY NICOLE MOORE (M.D.)?
Directory geography for DR. LINDSEY NICOLE MOORE (M.D.) centers on Dover, Ohio.
When was this NPI issued?
Enumeration for DR. LINDSEY NICOLE MOORE (M.D.) is noted as April 8, 2011 where the registry provides it.

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