Individual provider Active NPI

Jacob Jackson Moore, M.D.

  • Ophthalmology Physician
  • Corpus Christi, TX
National Provider Identifier
1144249277
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M4373 Issued in TX
Practice address
900 Morgan Ave
Corpus Christi, TX 78404-2028
Phone
(361) 888-4288
Fax
(361) 888-4293
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 56146 GA
Ophthalmology Physician 207W00000X M4373 TX Primary

Addresses

Primary practice location

900 Morgan Ave
Corpus Christi, TX 78404-2028

Mailing address

PO Box 3827
Corpus Christi, TX 78463-3827
Phone (361) 888-4288

Other identifiers 4

IdentifierTypeStateIssuer
182155501MedicaidTX
8W1399OtherTXBCBS
1144249277OtherTXNPI
P00338508OtherTXRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061026000184 TX Practitioner - Ophthalmology 7012914559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacob J Moore MD PAGroup PAC ID 8325196363, 6 clinicians

Practice addresses (Care Compare)

1209 N St Mary'S
Beeville, TX 78102-3424
Phone (361) 888-4288

900 Morgan Ave
Corpus Christi, TX 78404-2028
Phone (361) 888-4288

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
80.74
Improvement activities
40
Cost
83.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56146GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Bend Ambulatory Surgical Center Inc. CurrentSince Mar 8, 2011 Accepting new patients
Jacob J Moore MD PA Ophthalmology CurrentSince Apr 15, 2009 Accepting new patients
Aeg Texas Professional PLLC Past Accepting new patients
South Texas Retina Consultants, LLP Ophthalmology Past Accepting new patients
Valley Eye Center PA Ophthalmology Past Accepting new patients

Locations

62 N Cameron St
Alice, TX 78332
Phone (361) 664-3571

1209 N Saint Marys St
Beeville, TX 78102
Phone (361) 358-3218

900 Morgan Ave
Corpus Christi, TX 78404
Phone (361) 888-4288

1126 S 14th St
Kingsville, TX 78363
Phone (361) 937-2316

1126 S 14th St
Ste A
Kingsville, TX 78363
Phone (361) 592-6141

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1144249277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3827",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784633827",
            "telephone_number": "361-888-4288",
            "fax_number": "361-888-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042028",
            "telephone_number": "361-888-4288",
            "fax_number": "361-888-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JACOB",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "56146",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M4373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182155501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8W1399",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144249277",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00338508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.