DR. KEVIN DALE MOORE (M.D.) – Psychiatry Physician, NPI 1023096054
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,033 PSYCHIATRY in VA
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Provider Addresses for DR. KEVIN DALE MOORE (M.D.)
450, Garrisonville Road, Stafford County, Virginia, 22554, United States
109
STAFFORD, VA 22554
Phone: (703) 522-2727
Fax: (540) 288-3327
Type: Location
34, Monument Drive, Stafford County, Virginia, 22554, United States
STAFFORD, VA 225548508
Phone: (571) 409-0161
Fax: (540) 288-3327
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2023-11-02 • Largest payer in this snapshot: ABBVIE INC. ($30).
Total Amount
$48
General + Research + Ownership
Payments
3
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $30 |
| Janssen Pharmaceuticals, Inc | $18 |
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: 2026-02-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20160928000861 | I | Psychiatry | VA | TBD |
| I20161116000001 | I | Psychiatry | NC | TBD |
| I20181130000437 | I | Psychiatry | DC | TBD |
| I20190325001017 | I | Psychiatry | PA | TBD |
| I20220111000185 | I | Psychiatry | NV | TBD |
| I20260218000534 | I | Psychiatry | FL | 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 22554)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | VA | 90836 | Psychotherapy, 45 minutes with patient and/or family member | 17 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| P S Y C H I A T R Y | VA | |
| P S Y C H I A T R Y | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| P S Y C H I A T R Y | NC | |
| P S Y C H I A T R Y | MD | |
| Nurse Practitioner | VA | |
| P S Y C H I A T R Y | OH |
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