DR. BRIAN MOORE (MD) – Dermatology Physician, NPI 1346402575
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
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Provider Addresses for DR. BRIAN MOORE (MD)
University Suburban Health Center, 1611, South Green Road, South Euclid, Cuyahoga County, Ohio, 44121, United States
SUITE 146
SOUTH EUCLID, OH 441214121
Phone: (216) 382-3806
Fax: (216) 382-6735
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 180 Open Payments records for all available years, with a total value of $4,138.
Total Amount is formed as General ($4,138) + Research ($0) + Ownership ($0) = $4,138.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($744).
Total Amount
$4,138
General + Research + Ownership
Payments
180
Total payment records
General Amount
$4,138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $744 |
| ABBVIE INC. | $694 |
| Janssen Biotech, Inc. | $688 |
| Lilly USA, LLC | $354 |
| Incyte Corporation | $351 |
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: 2014-10-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141023000673 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,400 | 219 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 682 | 412 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 474 | 293 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 177 | 151 | $0 |
| 11300 | Shaving of skin growth of body, arms, or legs, 0.5 cm or less | 112 | 81 | $0 |
Insurance plans in this area (ZIP 44121)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OH | 17003 | Destruction of 2-14 skin growths | 219 | 113 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | KY | |
| Nurse Practitioner | OH |
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