COURTENAY K MOORE (MD) – Urology Physician, NPI 1568552644
Urology Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
569 UROLOGY in OH
Provider Addresses for COURTENAY K MOORE (MD)
915 OLENTANGY RIVER RD STE 2000
COLUMBUS, OH 432123159
Phone: (614) 293-8155
Fax: (614) 293-3565
Type: Location
Ackerman Road, Columbus, Sharon, Franklin, Ohio, 43202, United States
COLUMBUS, OH 432021559
Phone: (614) 293-8155
Fax: (614) 293-3565
Type: Mailing
915, Olentangy River Road, Harrison West, Columbus, Franklin, Ohio, 43212, United States
COLUMBUS, OH 432123153
Phone: (614) 293-8155
Fax: (614) 293-3565
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $2,513.
Total Amount is formed as General ($2,513) + Research ($0) + Ownership ($0) = $2,513.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($1,282).
Total Amount
$2,513
General + Research + Ownership
Payments
23
Total payment records
General Amount
$2,513
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,282 |
| Intuitive Surgical, Inc. | $716 |
| Axonics, Inc. | $490 |
| Boston Scientific Corporation | $26 |
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: 2004-10-27
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 |
|---|---|---|---|---|
| I20041027000044 | I | Urology | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2,600 | 20 | $0 |
| 81003 | Automated urinalysis test | 72 | 63 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 57 | 55 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 41 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 32 | $0 |
Insurance plans in this area (ZIP 43212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OH | |
| U R O L O G Y | OH | |
| Nurse Practitioner | OH | |
| U R O L O G Y | OH | |
| Nurse Practitioner | OH | |
| U R O L O G Y | IL | |
| U R O L O G Y | TN | |
| - | OH | |
| U R O L O G Y | OH | |
| U R O L O G Y | OH |
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