JOSEPH MICHAEL MOORE (MD) – Internal Medicine Physician, NPI 1104853142

JOSEPH MICHAEL MOORE (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 23398 (OK). The NPI Number for JOSEPH MICHAEL MOORE (MD) is 1104853142

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH MICHAEL MOORE (MD)
NPI
1104853142
Phone
(405) 724-0574
Address
701 CEDAR LAKE BLVD STE 160
Enumeration Date
26 June 2006
Last Update Date
11 May 2023

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9186659500
Graduation Year
2003 (23 years ago)
PAC ID
3678512266
Group Practice PAC ID
3375832157
Professional Enrollment ID
I20050623000314
Address ID
OK741321856TU7127XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,474 INTERNAL MEDICINE in OK

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Provider Addresses for JOSEPH MICHAEL MOORE (MD)

  • 701 CEDAR LAKE BLVD STE 160

    OKLAHOMA CITY, OK 731147818

    Phone: (405) 724-0574

    Type: Mailing

  • 6600, South Yale Avenue, Southridge Estates, Tulsa, Tulsa County, Oklahoma, 74137, United States

    SUITE 1400

    TULSA, OK 741363347

    Phone:

    Type: Mailing

  • East 91st Street, Tulsa, Tulsa County, Oklahoma, 74012, United States

    SUITE 220

    TULSA, OK 741335589

    Phone: (918) 307-5420

    Fax: (918) 307-5421

    Type: Location

  • 9820 E 41ST ST STE 301

    TULSA, OK 741463605

    Phone: (918) 876-0521

    Type: Mailing

  • 7127 S OLYMPIA AVE

    TULSA, OK 741321856

    Phone: (918) 876-0521

    Fax: (918) 876-0939

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $315.

Total Amount is formed as General ($315) + Research ($0) + Ownership ($0) = $315.

Last reported payment date: 2024-03-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($230).

Total Amount

$315

General + Research + Ownership

Payments

3

Total payment records

General Amount

$315

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050623000314IInternal MedicineOKTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes644342$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes579320$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month393216$0
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month257201$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes182180$0
View full utilization report →

Insurance plans in this area (ZIP 73114)

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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: 3375832157View full group profile
NameSpecialtyState
Physician AssistantKS
Nurse PractitionerOK
Clinical Social WorkerOK
Physician AssistantOK
Nurse PractitionerMO
Nurse PractitionerWA
Nurse PractitionerOK
Nurse PractitionerOK
Hospitalist, Internal Medicine, Internal MedicineTX
-KS

Reviews

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Frequently asked questions

What is the registry number for JOSEPH MICHAEL MOORE (MD)?
The registry entry for JOSEPH MICHAEL MOORE (MD) shows NPI 1104853142.
Is JOSEPH MICHAEL MOORE (MD) currently accepting referrals based on NPI status?
Registry metadata lists JOSEPH MICHAEL MOORE (MD) as active.
How should patients interpret JOSEPH MICHAEL MOORE (MD)'s specialty?
The extract shows Internal Medicine Physician for JOSEPH MICHAEL MOORE (MD). Clinical services aligned with this taxonomy classification.
Can patients visit JOSEPH MICHAEL MOORE (MD) in Oklahoma City, Oklahoma?
For routing, start with Oklahoma City, Oklahoma for JOSEPH MICHAEL MOORE (MD), then verify phone and hours locally.
Can I export JOSEPH MICHAEL MOORE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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