DR. JEFFREY LEE JR. MOORE (D.O.) – Anesthesiology Physician, NPI 1174779326

DR. JEFFREY LEE JR. MOORE (D.O.) is a healthcare provider. based in Portsmouth, Virginia. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. DO1097 (AL). The NPI Number for DR. JEFFREY LEE JR. MOORE (D.O.) is 1174779326

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY LEE JR. MOORE (D.O.)
NPI
1174779326
Phone
Not provided
Address
620 JOHN PAUL JONES CIR
Enumeration Date
7 August 2008
Last Update Date
23 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4346547000
Graduation Year
2008 (18 years ago)
PAC ID
8123209152
Group Practice PAC ID
6305081118
Professional Enrollment ID
I20230323001529
Address ID
VA229114668CH500XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,338 ANESTHESIOLOGY in VA

Provider Addresses for DR. JEFFREY LEE JR. MOORE (D.O.)

  • 620 JOHN PAUL JONES CIR

    PORTSMOUTH, VA 237082111

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Medtronic, Inc. ($112).

Total Amount

$112

General + Research + Ownership

Payments

1

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$112
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: 2023-03-23

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
I20230323001529IAnesthesiologyVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23708)

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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: 6305081118View full group profile
NameSpecialtyState
-VA
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YTN
Pain Management, AnesthesiologyPA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)MD
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YVA

Reviews

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Frequently asked questions

What NPI should I save for DR. JEFFREY LEE JR. MOORE (D.O.)?
Save NPI 1174779326 if you need a stable reference for DR. JEFFREY LEE JR. MOORE (D.O.).
Does this profile mean DR. JEFFREY LEE JR. MOORE (D.O.) is currently active?
Yes — DR. JEFFREY LEE JR. MOORE (D.O.) appears active in the national provider directory.
Does DR. JEFFREY LEE JR. MOORE (D.O.) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for DR. JEFFREY LEE JR. MOORE (D.O.). Clinical services aligned with this taxonomy classification.
What location shows for DR. JEFFREY LEE JR. MOORE (D.O.)?
We surface Portsmouth, Virginia for DR. JEFFREY LEE JR. MOORE (D.O.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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