DOMINIQUE A MOORE (FNP-C) – Nurse Practitioner, NPI 1366966459
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for DOMINIQUE A MOORE (FNP-C)
1658 W Baker Rd
Baytown, TX 775212283
Phone: (281) 428-0000
Type: Location
2655, West Baker Road, Baytown, Harris County, Texas, 77521, United States
BAYTOWN, TX 775212206
Phone: (281) 425-9205
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $696.
Total Amount is formed as General ($696) + Research ($0) + Ownership ($0) = $696.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($117).
Total Amount
$696
General + Research + Ownership
Payments
37
Total payment records
General Amount
$696
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $117 |
| GlaxoSmithKline, LLC. | $96 |
| Novo Nordisk Inc | $94 |
| Amgen Inc. | $81 |
| SANOFI-AVENTIS U.S. LLC | $44 |
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: 2021-04-26
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 |
|---|---|---|---|---|
| I20210426000768 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 74 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 84 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 51 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 28 | 28 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 27 | 27 | $0 |
Insurance plans in this area (ZIP 77521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Internal Medicine | TX |
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