JACOB JAMES MOORE DO
NPI 1255892287
Psychiatry & Neurology - Psychiatry in Sacramento, CA

Q: What is Jacob Moore's NPI number?

The NPI number for Jacob Moore is 1255892287. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Q: What is Jacob Moore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Moore was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 31, 2019PECOS EnrolledAccepts Medicare Assignment

2230 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-3574 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2021, Jun 8, 2020 (2 updates tracked since 2020).

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About Jacob James Moore Do NPPES

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

JACOB JAMES MOORE DO (NPI 1255892287) is an individual psychiatry provider in Sacramento, California, licensed in California (20A20161) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255892287

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJACOB JAMES MOORECredential: DO

Location Address2230 STOCKTON BLVDSacramento, CA 95817-1353

Mailing Address2230 Stockton BlvdSacramento, CA 95817-1353 · (916) 730-3574

Phone(916) 734-3574

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 31, 2019

Last NPPES UpdateApril 25, 20252 updates tracked since enumeration

NPPES CertifiedApril 25, 2025

✔ NPI 1255892287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · 20A20161

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2230 STOCKTON BLVD, Sacramento, CA 95817

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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

Jacob James Moore Do 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 ID8527422393

PECOS Enrollment IDI20230912002656

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 95817 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

$180.85 typical visit price

range $60.44 – $180.85

Typical copayment $45.21 (range $15.11 – $45.21)

Most-billed visit code 99205

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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 20

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

RENATA M BOTELLO

Case Manager/Care Coordinator