JUSTINE SHERYLYN MOE MD, DDS
NPI 1104143833
Dentist - Oral and Maxillofacial Surgery in Okemos, MI

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment
4201 OKEMOS RD, OKEMOS, MI 48864(517) 349-8383(517) 349-5566 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2020, Jan 29, 2019, Dec 28, 2018 and 4 more (7 updates tracked since 2017).

About Justine Sherylyn Moe Md, Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTINE SHERYLYN MOE MD, DDS (NPI 1104143833) is an individual oral and maxillofacial surgery provider in Okemos, Michigan, licensed in Michigan (4301111526) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104143833
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameJUSTINE SHERYLYN MOECredential: MD, DDS
Location Address4201 OKEMOS RDOkemos, MI 48864-3200
Mailing Address4201 Okemos RdOkemos, MI 48864-3200 · (517) 349-8383 · Fax (517) 349-5566
Fax(517) 349-5566
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2017
Enumeration DateApril 20, 2010
Last NPPES UpdateAugust 26, 20247 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1104143833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MI · 4301111526
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 4301111526 (MI)
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 4301111526 (MI)
Also ListedSurgeryTaxonomy 208600000X · License 4301111526 (MI)
4201 OKEMOS RD, Okemos, MI 48864

Secondary Practice Locations 3

Location 14500 Cascade Rd SE Ste 208Grand Rapids, MI 49546-3665 · Phone (616) 977-5000 · Fax (616) 977-0020
Location 22240 S State RdIonia, MI 48846-2149 · Phone (616) 523-9000 · Fax (616) 523-9001
Location 35238 W St Joe Hwy Ste 2Lansing, MI 48917-4085 · Phone (517) 323-1000 · Fax (517) 886-5566

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justine Sherylyn Moe Md, Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880963917
PECOS Enrollment IDI20180906002293
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48864 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Oral & Maxillofacial Surgery
4201 OKEMOS RD
OKEMOS, MI 48864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justine Moe's NPI number?

The NPI number for Justine Moe is 1104143833. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Where is Justine Moe located?

Justine Moe practices at 4201 Okemos Rd, Okemos, MI 48864. The listed phone number is (517) 349-8383.

What is Justine Moe's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Justine Moe enrolled in Medicare?

Yes. Justine Moe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justine Moe accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Delta Dental of Michigan, McLaren Health Plan Community and Priority Health list Justine Moe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justine Moe affiliated with any hospitals?

According to CMS data, Justine Moe is affiliated with Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Justine Moe was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.