DR. NICHOLAS MAXIMILIAN MOORE (MD) – Vascular & Interventional Radiology Physician, NPI 1467017343
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
269 INTERVENTIONAL RADIOLOGY in VA
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Provider Addresses for DR. NICHOLAS MAXIMILIAN MOORE (MD)
VCUHS GMEA
BOX 980257
RICHMOND, VA 232980257
Phone: (804) 828-9783
Type: Mailing
VCU Medical Center, 1250, East Marshall Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States
RICHMOND, VA 232985051
Phone: (804) 628-9789
Fax: (804) 828-5595
Type: Location
1250 E Marshall St
Richmond, VA 232985051
Phone: (804) 628-9789
Fax: (804) 828-5595
Type: Location
8006 Discovery Dr Ste 303
Henrico, VA 232298600
Phone: (804) 554-0102
Type: Location
2810 N PARHAM RD STE 315
RICHMOND, VA 232944424
Phone: (804) 288-8327
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Penumbra, Inc. ($121).
Total Amount
$172
General + Research + Ownership
Payments
2
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $121 |
| Medtronic, Inc. | $51 |
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: 2025-05-06
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 |
|---|---|---|---|---|
| I20250506000740 | I | Interventional Radiology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23298)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | VA |
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