STEPHEN F MOORE (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1174517759

STEPHEN F MOORE (M.D.) is a healthcare provider. based in Columbus, Ohio. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 35039803 (OH). The NPI Number for STEPHEN F MOORE (M.D.) is 1174517759

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN F MOORE (M.D.)
NPI
1174517759
Phone
(614) 366-8530
Address
320 W 10TH AVE
Enumeration Date
9 September 2005
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6142935905
Graduation Year
1976 (50 years ago)
PAC ID
3870549314
Group Practice PAC ID
4587569983
Professional Enrollment ID
I20050328000591
Address ID
OH432101240CO452XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

749 PATHOLOGY in OH

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Provider Addresses for STEPHEN F MOORE (M.D.)

  • 320, West 10th Avenue, NECKO, University District District 4, Columbus, Franklin County, Ohio, 43210, United States

    COLUMBUS, OH 432101280

    Phone: (614) 366-8530

    Fax: (614) 366-1183

    Type: Location

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 292-8881

    Fax: (614) 292-5849

    Type: Mailing

  • 333 W 10TH AVE

    COLUMBUS, OH 432101239

    Phone: (614) 292-8881

    Fax: (614) 292-5849

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-03-28

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
I20050328000591IPathologyOHTBD

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
88331Pathology examination of specimen during surgery, first tissue block477160$0
88332Pathology examination of specimen during surgery, each additional tissue block3519$0
View full utilization report →

Insurance plans in this area (ZIP 43210)

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Provider's Procedures

STEPHEN F MOORE (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYOH88307Pathology examination of tissue using a microscope, moderately high complexity12139
PATHOLOGYOH88342Tissue or cell analysis by immunologic technique5430

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: 4587569983View full group profile
NameSpecialtyState
P A T H O L O G YOH
P A T H O L O G YIN
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for STEPHEN F MOORE (M.D.)?
STEPHEN F MOORE (M.D.) — NPI 1174517759 — is the standard way to identify this listing.
Can I rely on STEPHEN F MOORE (M.D.) being an active provider?
As of the registry snapshot, STEPHEN F MOORE (M.D.) is marked active.
What is STEPHEN F MOORE (M.D.) best known for clinically?
Directory data describes STEPHEN F MOORE (M.D.) with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for STEPHEN F MOORE (M.D.)?
STEPHEN F MOORE (M.D.)'s geographic hint is Columbus, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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