JEREMY ADAM MOORE (MD) – Otolaryngology Physician, NPI 1184707143
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
113 OTOLARYNGOLOGY in OK
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Provider Addresses for JEREMY ADAM MOORE (MD)
3033 NW 63RD ST STE 152
OKLAHOMA CITY, OK 731163607
Phone: (405) 755-6651
Fax: (405) 755-2795
Type: Mailing
3650, West Rock Creek Road, Norman, Cleveland County, Oklahoma, 73072, United States
SUITE 110
NORMAN, OK 730722202
Phone: (405) 364-2666
Fax: (405) 364-9627
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $1,253.
Total Amount is formed as General ($1,253) + Research ($0) + Ownership ($0) = $1,253.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($441).
Total Amount
$1,253
General + Research + Ownership
Payments
33
Total payment records
General Amount
$1,253
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $441 |
| GENZYME CORPORATION | $247 |
| Inspire Medical Systems, Inc. | $230 |
| Medtronic, Inc. | $166 |
| GlaxoSmithKline, LLC. | $88 |
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: 2007-08-08
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 |
|---|---|---|---|---|
| I20070808000106 | I | Otolaryngology | OK | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 5,060 | 95 | $0 |
| 95115 | Professional service for single injection of allergen | 165 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 113 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 109 | 109 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 88 | 76 | $0 |
Insurance plans in this area (ZIP 73116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK |
Reviews
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