MISS CAROLYN BAINDU MOORE (M.D.) – Surgery Physician, NPI 1194169870
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
155 THORACIC SURGERY in GA
Provider Addresses for MISS CAROLYN BAINDU MOORE (M.D.)
145 HOSPITAL AVE STE 300
DU BOIS, PA 158011465
Phone: (678) 557-8078
Type: Mailing
720 WESTVIEW DR SW
DEPARTMENT OF SURGERY
ATLANTA, GA 303101458
Phone: (404) 616-1426
Type: Mailing
145 Hospital Ave Ste 301
Du Bois, PA 158011465
Phone: (814) 375-2040
Fax: (814) 375-2045
Type: Location
3901 RAINBOW BLVD DEPT OF
KANSAS CITY, KS 661608500
Phone: (678) 557-8078
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $7,198.
Total Amount is formed as General ($7,198) + Research ($0) + Ownership ($0) = $7,198.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,249).
Total Amount
$7,198
General + Research + Ownership
Payments
41
Total payment records
General Amount
$7,198
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 |
|---|---|
| Intuitive Surgical, Inc. | $5,249 |
| Becton, Dickinson and Company | $1,501 |
| Davol Inc. | $160 |
| ATRICURE, INC. | $119 |
| Ethicon US, LLC | $58 |
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: 2023-11-21
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 |
|---|---|---|---|---|
| I20231121000424 | I | Thoracic Surgery | PA | 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 15801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | MD | |
| Nurse Practitioner | PA | |
| - | PA | |
| Diagnostic Radiology | TX | |
| Physician Assistant | PA | |
| Internal Medicine | PA |
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