DR. RACHEL RUTH LEWIS MOORE (M.D.) – Dermatology Physician, NPI 1477669166

DR. RACHEL RUTH LEWIS MOORE (M.D.) is a healthcare provider. based in College station, Texas. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. M3031 (TX). The NPI Number for DR. RACHEL RUTH LEWIS MOORE (M.D.) is 1477669166

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. RACHEL RUTH LEWIS MOORE (M.D.)
NPI
1477669166
Phone
(979) 207-3616
Address
1700 UNIVERSITY DR. E.
Enumeration Date
22 August 2006
Last Update Date
25 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9792073636
Graduation Year
2002 (24 years ago)
PAC ID
7315948833
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20070126000235
Address ID
TX778402661CO1700X16XX603

Contacts

Secure Messaging
rmoore23950@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,284 DERMATOLOGY in TX

Provider Addresses for DR. RACHEL RUTH LEWIS MOORE (M.D.)

  • 1700 UNIVERSITY DR. E.

    COLLEGE STATION, TX 77840

    Phone: (979) 207-3616

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $655.

Total Amount is formed as General ($655) + Research ($0) + Ownership ($0) = $655.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: PFIZER INC. ($189).

Total Amount

$655

General + Research + Ownership

Payments

16

Total payment records

General Amount

$655

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2007-01-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070126000235IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,394231$0
99213Established patient office or other outpatient visit, 20-29 minutes515383$0
17000Destruction of precancer skin growth, 1 growth365292$0
11102Biopsy of related skin growth, first growth290239$0
99214Established patient office or other outpatient visit, 30-39 minutes224198$0
View full utilization report →

Insurance plans in this area (ZIP 77840)

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Provider's Procedures

DR. RACHEL RUTH LEWIS MOORE (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX11101Biopsy of each additional growth of skin and/or tissue8962
DERMATOLOGYTX17003Destruction of 2-14 skin growths1612258

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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

What is the standard ID for DR. RACHEL RUTH LEWIS MOORE (M.D.) in the U.S.?
In the U.S., DR. RACHEL RUTH LEWIS MOORE (M.D.) is identified by NPI 1477669166.
Is DR. RACHEL RUTH LEWIS MOORE (M.D.)'s NPI status active today?
Active status means DR. RACHEL RUTH LEWIS MOORE (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. RACHEL RUTH LEWIS MOORE (M.D.) does?
Insurance directories may phrase it differently, but here DR. RACHEL RUTH LEWIS MOORE (M.D.) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. RACHEL RUTH LEWIS MOORE (M.D.)?
DR. RACHEL RUTH LEWIS MOORE (M.D.) shows a connection to College Station, Texas in registry-derived data.
Why is information missing for DR. RACHEL RUTH LEWIS MOORE (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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