1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Ophthalmology
  6. NPI Profile

DR. JONATHAN TAYLORMOORE MD
NPI 1164540712
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Fairfax, VA

Active since March 26, 2007PECOS Enrolled
3023 HAMAKER CT STE 500, FAIRFAX, VA 22031(703) 876-2788(571) 776-3190 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 18, 2021, Oct 19, 2020 (2 updates tracked since 2020).

About Dr. Jonathan Taylormoore Md NPPES

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

DR. JONATHAN TAYLORMOORE MD (NPI 1164540712) is an individual pediatric ophthalmology and strabismus specialist in Fairfax, Virginia, licensed in District Of Columbia (MD035648) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1164540712
Entity TypeIndividualMale
Primary Taxonomy207WX0110X
Provider Legal NameDR. JONATHAN TAYLORMOORECredential: MD
Location Address3023 HAMAKER CT STE 500Fairfax, VA 22031-2241
Mailing Address111 Michigan Ave Nw, Ww 1.5, Dept Of OphthalmologyWashington, Dc, DC 20010-1433 · (202) 476-3017
Phone(703) 876-2788
Fax(571) 776-3190
Sole ProprietorYes
Enumeration DateMarch 26, 2007
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1164540712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in DC · MD035648
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD035648 (DC)
3023 HAMAKER CT STE 500, Fairfax, VA 22031
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 Michigan Ave NWWashington, DC 20010-2978 · Phone (202) 884-6521

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Taylormoore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jonathan Taylormoore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Specialists Of Virginia, LLC
Same address
Pediatrics
3023 HAMAKER CT, SUITE 200
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 128 clinicians in this Medicare group
NPI 1699119818 (703) 848-6627
Children's Hospital
13 mi
Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group
NPI 1780800128 (202) 476-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 10

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

MERYL RUTKOWSKI LUDWIG MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
3023 HAMAKER CT STE 500
FAIRFAX, VA 22031
Fairfax County (703) 876-2788
DR. RACHEL EDLIN SELEKMAN MD
Urology (Pediatric Urology)
3023 HAMAKER CT STE 500
FAIRFAX, VA 22031
Fairfax County (571) 766-3096
JOANNE DEKIS MD
Orthopaedic Surgery
3023 HAMAKER CT STE 500
FAIRFAX, VA 22031
Fairfax County (703) 876-2788
SHAUNETTE DAVEY DO
Orthopaedic Surgery
3023 HAMAKER CT STE 500
FAIRFAX, VA 22031
Fairfax County (571) 776-3100
SAMANTHA LEAHY PA
Physician Assistant (Surgical)
3023 HAMAKER CT STE 500
FAIRFAX, VA 22031
Fairfax County (703) 876-2788
MR. JOSEPH PAUL LETZELTER III M.D. ON 05/2012
Orthopaedic Surgery (Hand Surgery)
3023 HAMAKER CT STE 500
FAIRFAX, VA 22031
Fairfax County (703) 848-6627
DR. CHRISTINA PHAM HO M.D.
Urology (Pediatric Urology)
3023 HAMAKER CT STE 500
FAIRFAX, VA 22031
Fairfax County (703) 876-2788
MEGHAN ELIZABETH HALE PA-C
Physician Assistant
3023 HAMAKER CT STE 500
FAIRFAX, VA 22031
Fairfax County (703) 635-3823

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 Jonathan Taylormoore's NPI number?

The NPI number for Jonathan Taylormoore is 1164540712. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Jonathan Taylormoore located?

Jonathan Taylormoore practices at 3023 Hamaker Ct Ste 500, Fairfax, VA 22031. The listed phone number is (703) 876-2788.

What is Jonathan Taylormoore's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Jonathan Taylormoore enrolled in Medicare?

Yes. Jonathan Taylormoore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jonathan Taylormoore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Taylormoore reassigns Medicare benefits to 2 organizations: Pediatric Specialists Of Virginia, LLC (Fairfax, VA) and Children's Hospital (Washington, DC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Taylormoore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Taylormoore was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.