MS. BONNY LAUREN MOORE (MD) – Hematology & Oncology Physician, NPI 1902048051
Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
368 HEMATOLOGY/ONCOLOGY in VA
Provider Addresses for MS. BONNY LAUREN MOORE (MD)
125 Woodstream Blvd Ste 205
Stafford, VA 225564630
Phone: (540) 371-0079
Fax: (540) 656-2769
Type: Location
4545 Empire Ct
Fredericksburg, VA 224081949
Phone: (540) 371-0079
Fax: (540) 656-2769
Type: Location
PO BOX 749495
ATLANTA, GA 303749495
Phone: (855) 963-2100
Fax: (813) 321-1296
Type: Mailing
Hematology - Oncology Associates, 4501, Empire Court, Fourmile Fork, Fredericksburg, Spotsylvania County, Virginia, 22408, United States
FREDERICKSBURG, VA 224081949
Phone: (540) 371-0079
Fax: (540) 656-2653
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 104 Open Payments records for all available years, with a total value of $2,116.
Total Amount is formed as General ($2,116) + Research ($0) + Ownership ($0) = $2,116.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: PFIZER INC. ($417).
Total Amount
$2,116
General + Research + Ownership
Payments
104
Total payment records
General Amount
$2,116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $417 |
| Novartis Pharmaceuticals Corporation | $142 |
| Regeneron Healthcare Solutions, Inc. | $135 |
| Seagen Inc. | $109 |
| Mirati Therapeutics, Inc. | $87 |
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: 2017-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170823001988 | I | Hematology/Oncology | 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 |
|---|---|---|---|---|
| J1439 | Injection, ferric carboxymaltose, 1 mg | 107,250 | 112 | $0 |
| J9271 | Injection, pembrolizumab, 1 mg | 16,800 | 26 | $0 |
| J0897 | Injection, denosumab, 1 mg | 14,100 | 102 | $0 |
| J9299 | Injection, nivolumab, 1 mg | 11,400 | 17 | $0 |
| J0185 | Injection, aprepitant, 1 mg | 7,930 | 37 | $0 |
Insurance plans in this area (ZIP 22556)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| H E M A T O L O G Y/ O N C O L O G Y | DE | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | FL | |
| P A T H O L O G Y | FL | |
| Nurse Practitioner | KS | |
| - | MO | |
| Nurse Practitioner | MD | |
| - | GA | |
| - | FL |
Reviews
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