DR. LIZA ALEXANDRA MOORE (MD) – Dermatology Physician, NPI 1730405010

DR. LIZA ALEXANDRA MOORE (MD) is a healthcare provider. based in Mc lean, Virginia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 0101253466 (VA). The NPI Number for DR. LIZA ALEXANDRA MOORE (MD) is 1730405010

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. LIZA ALEXANDRA MOORE (MD)
NPI
1730405010
Phone
(703) 942-9787
Address
8200 GREENSBORO DR STE 801
Enumeration Date
12 April 2010
Last Update Date
12 March 2020

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7039429787
Graduation Year
2010 (16 years ago)
PAC ID
8527208891
Group Practice PAC ID
6800128034
Professional Enrollment ID
I20130710000055
Address ID
VA221024925MC8200XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

471 DERMATOLOGY in VA

Provider Addresses for DR. LIZA ALEXANDRA MOORE (MD)

  • 8200 GREENSBORO DR STE 801

    MC LEAN, VA 221024925

    Phone: (703) 942-9787

    Fax: (703) 563-3824

    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 238 Open Payments records for all available years, with a total value of $29,754.

Total Amount is formed as General ($29,754) + Research ($0) + Ownership ($0) = $29,754.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($25,301).

Total Amount

$29,754

General + Research + Ownership

Payments

238

Total payment records

General Amount

$29,754

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2013-07-10

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
I20130710000055IDermatologyDCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6855$0
99214Established patient office or other outpatient visit, 30-39 minutes6341$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
11102Biopsy of related skin growth, first growth2219$0
View full utilization report →

Insurance plans in this area (ZIP 22102)

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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: 6800128034View full group profile
NameSpecialtyState
Physician AssistantVA
Physician AssistantVA

Reviews

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Frequently asked questions

How is DR. LIZA ALEXANDRA MOORE (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. LIZA ALEXANDRA MOORE (MD) with NPI 1730405010.
Does the file indicate DR. LIZA ALEXANDRA MOORE (MD) is practicing under active NPI?
Directory data currently reports DR. LIZA ALEXANDRA MOORE (MD) as active.
What taxonomy line describes DR. LIZA ALEXANDRA MOORE (MD)?
For research purposes, treat DR. LIZA ALEXANDRA MOORE (MD) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. LIZA ALEXANDRA MOORE (MD) serve?
DR. LIZA ALEXANDRA MOORE (MD)'s listing highlights Mc Lean, Virginia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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