JACQUELINE MORAA MOGUSU – General Practice Physician, NPI 1881162527
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACQUELINE MORAA MOGUSU
3901 W 15th St
Plano, TX 750757738
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
1600 Coit Rd Ste 305
Plano, TX 750756172
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
4323 N Josey Ln Ste 110
Carrollton, TX 750104619
Phone: (469) 788-8588
Fax: (469) 788-7800
Type: Location
13472 Eastlake Blvd Ste A
Horizon City, TX 799286320
Phone: (915) 313-6300
Type: Location
Medical City Plano, 3901, West 15th Street, Plano, Collin County, Texas, 75075, United States
PLANO, TX 750757738
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
1600 COIT RD STE 305
PLANO, TX 750756172
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
PO BOX 12187
AUGUSTA, GA 309142187
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Mailing
4541 N JOSEY LN STE 110
CARROLLTON, TX 750104622
Phone: (469) 788-8588
Fax: (469) 788-7800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $573.
Total Amount is formed as General ($573) + Research ($0) + Ownership ($0) = $573.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Vericel Corporation ($207).
Total Amount
$573
General + Research + Ownership
Payments
11
Total payment records
General Amount
$573
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vericel Corporation | $207 |
| GlaxoSmithKline, LLC. | $125 |
| Phathom Pharmaceuticals, Inc. | $124 |
| Otsuka America Pharmaceutical, Inc. | $117 |
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: 2025-03-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20190219000847 | I | Nurse Practitioner | TX | TBD |
| I20240528002362 | I | Nurse Practitioner | CO | TBD |
| I20240820000591 | I | Nurse Practitioner | MO | TBD |
| I20250317000449 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 32 | 12 | $0 |
Insurance plans in this area (ZIP 75075)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Critical Care (Intensivists) | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Critical Care (Intensivists), General Surgery | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | GA | |
| - | GA |
Reviews
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