JUSTIN BOONE MOORE MD
NPI 1174766638
Emergency Medicine in Jackson, MS

Q: What is Justin Moore's NPI number?

The NPI number for Justin Moore is 1174766638. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Q: What is Justin Moore's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Moore was last updated on July 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 14, 2009PECOS Enrolled

75/100

CMS Quality Rating

2500 N STATE ST, DEPARTMENT OF EMERGENCY MEDICINE, JACKSON, MS 39216(601) 984-5570 Get Directions Write a Review

NPPES record last updated: July 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Justin Boone Moore Md NPPES

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

JUSTIN BOONE MOORE MD (NPI 1174766638) is an individual emergency medicine provider in Jackson, Mississippi, licensed in Mississippi (T-2340) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174766638

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJUSTIN BOONE MOORECredential: MD

Location Address2500 N STATE ST, DEPARTMENT OF EMERGENCY MEDICINEJackson, MS 39216-4500

Mailing Address2500 N State St, Department Of Emergency MedicineJackson, MS 39216-4500 · (601) 984-5570

Phone(601) 984-5570

Sole ProprietorNo

Enumeration DateApril 14, 2009

Last NPPES UpdateJuly 5, 2010

✔ NPI 1174766638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MS · T-2340

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2500 N STATE ST, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Boone Moore 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

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