DR. MILAN SHANNON MOORE (MD) – Orthopaedic Surgery Physician, NPI 1063490290
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
779 ORTHOPEDIC SURGERY in WA
Provider Addresses for DR. MILAN SHANNON MOORE (MD)
PO BOX 368
OLYMPIA, WA 985070368
Phone: (360) 491-8439
Fax: (360) 491-6328
Type: Mailing
3901 CAPITAL MALL DR SW STE A
OLYMPIA, WA 985028654
Phone: (360) 786-8990
Fax: (360) 786-9010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $288.
Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Stryker Corporation ($243).
Total Amount
$288
General + Research + Ownership
Payments
20
Total payment records
General Amount
$288
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $243 |
| DePuy Synthes Sales Inc. | $45 |
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: 2005-10-19
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 |
|---|---|---|---|---|
| I20051019000667 | I | Orthopedic Surgery | WA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 484 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 343 | 289 | $0 |
| 73564 | X-ray of knee, 4 or more views | 316 | 235 | $0 |
| 73502 | X-ray of hip, 2-3 views | 258 | 192 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 192 | 166 | $0 |
Insurance plans in this area (ZIP 98507)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | WA | 73562 | X-ray of knee, 3 views | 228 | 151 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | NH | |
| Physician Assistant | WA | |
| - | TX | |
| A N E S T H E S I O L O G Y | WA | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | WA | |
| - | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Orthopedic Surgery | WA | |
| Orthopedic Surgery | IA |
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