JEFFREY ROBERT MOORE (M.D.) – Pediatric Cardiology Physician, NPI 1861719213
Pediatric Cardiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,744 PEDIATRIC MEDICINE in OH
Provider Addresses for JEFFREY ROBERT MOORE (M.D.)
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone: (614) 722-4384
Type: Location
2213 Cherry St
Toledo, OH 436082603
Phone: (419) 251-8035
Fax: (419) 251-7716
Type: Location
730 W. High Street
Lima, OH 45801
Phone: (419) 251-8035
Type: Location
1400 E 2nd St
Defiance, OH 435129905
Phone: (419) 251-8035
Type: Location
500 W Market St
Tiffin, OH 448832610
Phone: (419) 251-8035
Type: Location
2222 Cherry St Ste 2800
Toledo, OH 436082675
Phone: (419) 251-8035
Fax: (419) 251-7716
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Boston Scientific Corporation ($23).
Total Amount
$41
General + Research + Ownership
Payments
2
Total payment records
General Amount
$41
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $23 |
| Philips North America LLC | $18 |
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: 2016-07-26
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20160726002583 | I | Pediatric Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Urology | OH | |
| - | OH | |
| E N D O C R I N O L O G Y | OH | |
| Orthopedic Surgery | OH | |
| Pediatric Medicine | OH | |
| Pediatric Medicine | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | MI | |
| Pediatric Medicine | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | OH |
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