PAMELA KIM MOORE (M.D.) – Pediatrics Physician, NPI 1700851391
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PAMELA KIM MOORE (M.D.)
7210 40TH ST W
UNIVERSITY PLACE, WA 984664319
Phone: (253) 564-0170
Fax: (253) 207-4240
Type: Mailing
214 KING ST
OGDENSBURG, NY 136691142
Phone: (315) 713-5245
Fax: (315) 393-6921
Type: Mailing
1300, Southwest 27th Street, Renton, King County, Washington, 98057, United States
RENTON, WA 980572435
Phone: (206) 630-4300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2020-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20070904000527 | I | Pediatric Medicine | WA | TBD |
| I20160309000389 | I | Pediatric Medicine | TX | TBD |
| I20200915002930 | I | Pediatric Medicine | ND | 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 98466)
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