JEREMY BRANDON MOAD (M.D) – Pulmonary Disease Physician, NPI 1134325608

JEREMY BRANDON MOAD (M.D) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 25707 (OK). The NPI Number for JEREMY BRANDON MOAD (M.D) is 1134325608

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY BRANDON MOAD (M.D)
NPI
1134325608
Phone
(918) 502-1900
Address
6161 S Yale Ave
Enumeration Date
22 June 2007
Last Update Date
27 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052714311
Graduation Year
2007 (19 years ago)
PAC ID
0244411767
Group Practice PAC ID
5991105876
Professional Enrollment ID
I20110216000843
Address ID
OK731045420OK900XXSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:18State licenses:1Digital endpointsOther names

166 PULMONARY DISEASE in OK

Provider Addresses for JEREMY BRANDON MOAD (M.D)

  • 6161 S Yale Ave

    Tulsa, OK 741361902

    Phone: (918) 502-1900

    Type: Location

  • 3300 NW Expressway

    Oklahoma City, OK 731124418

    Phone: (405) 949-3011

    Type: Location

  • 104, South Bryant Avenue, Edmond, Oklahoma County, Oklahoma, 73034, United States

    EDMOND, OK 73034

    Phone: (405) 715-2022

    Fax: (405) 715-2905

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 76 Open Payments records for all available years, with a total value of $1,448.

Total Amount is formed as General ($1,448) + Research ($0) + Ownership ($0) = $1,448.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($405).

Total Amount

$1,448

General + Research + Ownership

Payments

76

Total payment records

General Amount

$1,448

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2011-02-16

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
I20110216000843IPulmonary DiseaseOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes303214$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes28395$0
99291Critical care, first 30-74 minutes16259$0
99215Established patient office or other outpatient visit, 40-54 minutes127100$0
99205New patient office or other outpatient visit, 60-74 minutes8080$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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Provider's Procedures

JEREMY BRANDON MOAD (M.D) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEOK31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope2525

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: 5991105876View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOK
R H E U M A T O L O G YOK
Orthopedic Surgery, Hand SurgeryOK
A N E S T H E S I O L O G YOK
Hospitalist, Internal MedicineOK
Pediatric Medicine, Hematology/OncologyVA
Clinical PsychologistOK
Emergency MedicineOK
Critical Care (Intensivists), Pediatric MedicineOK
Endocrinology, Pediatric MedicineOK

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Frequently asked questions

Is there an official ID for JEREMY BRANDON MOAD (M.D) in U.S. healthcare records?
The official identifier for JEREMY BRANDON MOAD (M.D) is NPI 1134325608.
Active or inactive — what applies to JEREMY BRANDON MOAD (M.D)?
You should see JEREMY BRANDON MOAD (M.D) as active in CMS-hosted NPPES data.
What area of care is associated with JEREMY BRANDON MOAD (M.D)?
JEREMY BRANDON MOAD (M.D)'s record emphasizes Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JEREMY BRANDON MOAD (M.D)?
Travel planning: use Tulsa, Oklahoma as the reference point for JEREMY BRANDON MOAD (M.D), then confirm.
Can I trust this NPI listing for JEREMY BRANDON MOAD (M.D)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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