AMY MARCELLE MOORE (MD) – Plastic Surgery Physician, NPI 1538381462
Plastic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
293 PLASTIC AND RECONSTRUCTIVE SURGERY in OH
Provider Addresses for AMY MARCELLE MOORE (MD)
915 OLENTANGY RIVER RD STE 2140
COLUMBUS, OH 432123153
Phone: (614) 293-8566
Fax: (614) 293-3381
Type: Location
Ackerman Road, Columbus, Sharon, Franklin, Ohio, 43202, United States
COLUMBUS, OH 432021559
Phone: (614) 293-8566
Fax: (614) 366-0433
Type: Mailing
700 Childrens Dr
Columbus, OH 432052664
Phone: (614) 722-2000
Type: Location
555 S 18th St
Columbus, OH 432052654
Phone: (614) 722-2000
Type: Location
455 Executive Campus Dr
Westerville, OH 430828870
Phone: (614) 722-6200
Type: Location
4363 All Seasons Dr
Hilliard, OH 430262050
Phone: (614) 722-6200
Type: Location
915, Olentangy River Road, Harrison West, Columbus, Franklin County, Ohio, 43201, United States
COLUMBUS, OH 432123153
Phone: (614) 293-8566
Fax: (614) 293-3381
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $64,070.
Total Amount is formed as General ($64,070) + Research ($0) + Ownership ($0) = $64,070.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Checkpoint Surgical, Inc ($22,783).
Total Amount
$64,070
General + Research + Ownership
Payments
52
Total payment records
General Amount
$64,070
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Checkpoint Surgical, Inc | $22,783 |
| Integra LifeSciences Corporation | $19,318 |
| AXOGEN | $17,564 |
| TriMed, Inc. | $4,242 |
| Davol Inc. | $163 |
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: 2020-02-25
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 |
|---|---|---|---|---|
| I20200225003012 | I | Plastic And Reconstructive Surgery | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 43212)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | MO | 64721 | Release and/or relocation of median nerve of hand | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | OH | |
| Hand Surgery, Plastic And Reconstructive Surgery | FL | |
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Physician Assistant | WV | |
| Physician Assistant | OH | |
| Physician Assistant | IL |
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