Jeremy Adam Moore, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25527 Issued in OK

Practice address

3650 W Rock Creek Rd
Suite 110
Norman, OK 73072-2202

Phone

(405) 364-2666

Fax

(405) 364-9627

NPI assigned

Oct 23, 2006

Last updated

May 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Otolaryngology

Education

University of Oklahoma College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oklahoma Otolaryngology Associates LLCGroup PAC ID 9739136102, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norman Regional Hospital, Norman, OK, CCN 370008
• Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
• O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Oklahoma Otolaryngology Associates, LLC

  • Specialist
  • Oklahoma City, OK
  • NPI 1124118773
  Medicare reassignment Care Compare group NPD Authorized official
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Oklahoma Otolaryngology Hearing Center Inc

  dba Oklahoma Hearing Center

  • Audiologist
  • Edmond, OK
  • NPI 1356788954
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Ardmore, Inc.

  • General Acute Care Hospital
  • Ardmore, OK
  • NPI 1386741635
  Care Compare affiliation
• Norman Regional Hospital Authority

  dba Norman Regional

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  Care Compare affiliation
• Ou Medicine Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1649794157
  Care Compare affiliation

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1184707143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 NW 63RD ST STE 152",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163607",
            "telephone_number": "405-755-6651",
            "fax_number": "405-755-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W ROCK CREEK RD",
            "address_2": "SUITE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722202",
            "telephone_number": "405-364-2666",
            "fax_number": "405-364-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JEREMY",
        "middle_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "25527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addelon Moore
• Crystal Moore
• Cyera Moore
• Demetria J Moore
• Elizabeth Moore, M.ED, BCBA
• Jessica Moore, BS, CM II
• Jo Acree Moore, AUD
• Kenidi Moore
• Kyle Lee Moore Sr., MSW
• Lindsy Renae Moore, DPT, PT

• Otolaryngology Physician in Norman, OK
• Providers in Norman, OK by specialty
• Otolaryngology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.