ANDREW BENJAMIN MOORE (MD) – Emergency Medicine Physician, NPI 1578981049
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
827 EMERGENCY MEDICINE in OR
Provider Addresses for ANDREW BENJAMIN MOORE (MD)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
Phone: (503) 494-7500
Type: Mailing
1100 E Norris Dr
Ottawa, IL 613501604
Phone: (815) 433-3100
Type: Location
240 E. Huron Street,
McGaw Pavilion Suite 1-200
Chicago, IL 60611
Phone: (312) 503-7975
Type: Location
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone: (503) 494-7500
Fax: (503) 494-4997
Type: Location
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone: (540) 224-5516
Type: Mailing
1906 BELLEVIEW AVE SE
ROANOKE, VA 240141838
Phone: (540) 981-7000
Fax: (540) 985-6920
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $108.
Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.
Last reported payment date: 2024-03-11 • Largest payer in this snapshot: Gilead Sciences, Inc. ($108).
Total Amount
$108
General + Research + Ownership
Payments
4
Total payment records
General Amount
$108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $108 |
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: 2020-06-10
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 |
|---|---|---|---|---|
| I20200610002278 | I | Emergency Medicine | VA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 326 | 319 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 134 | 125 | $0 |
| 99291 | Critical care, first 30-74 minutes | 51 | 50 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 20 | 20 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 97239)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Cardiovascular Disease (Cardiology) | VA | |
| G A S T R O E N T E R O L O G Y | NY | |
| - | MI | |
| - | VA | |
| - | VA | |
| - | VA | |
| General Surgery | VA | |
| - | VA |
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