DR. MICHAEL BENJAMIN MOORE (DO) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1538110911
Emergency Medical Services (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for DR. MICHAEL BENJAMIN MOORE (DO)
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 984313689
Phone: (253) 968-1340
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-07-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210112002362 | I | Family Practice | WA | TBD |
| I20230703000163 | I | Family Practice | ID | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 67 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 18 | 18 | $0 |
| 81003 | Automated urinalysis test | 17 | 16 | $0 |
Insurance plans in this area (ZIP 98431)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ID | |
| Family Practice | WA | |
| Family Practice | WA | |
| Family Practice | ID | |
| - | WA | |
| Family Practice | WA | |
| Family Practice, Emergency Medicine | WA | |
| Family Practice | WA | |
| Internal Medicine, Pediatric Medicine | WA | |
| Family Practice | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.