DR. JACQUELINE MCCLELLAN MOORE D.O.
NPI 1437319407
Internal Medicine in Traverse City, MI

Q: What is Jacqueline Moore's NPI number?

The NPI number for Jacqueline Moore is 1437319407. It was assigned to this individual provider in the NPPES registry on June 13, 2008.

Q: What is Jacqueline Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Moore was last updated on May 16, 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 June 13, 2008PECOS EnrolledAccepts Medicare Assignment

1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-5800(231) 935-5885 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 16, 2025, Oct 11, 2016 (2 updates tracked since 2016).

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About Dr. Jacqueline Mcclellan Moore D.o. NPPES

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

DR. JACQUELINE MCCLELLAN MOORE D.O. (NPI 1437319407) is an individual internal medicine provider in Traverse City, Michigan, licensed in Michigan (5101017571) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437319407

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. JACQUELINE MCCLELLAN MOORECredential: D.O.

Location Address1105 SIXTH STTraverse City, MI 49684-2349

Mailing Address10850 E Traverse Hwy, Ste 4400Traverse City, MI 49684-1364 · (231) 346-6800 · Fax (231) 346-6096

Phone(231) 935-5800

Fax(231) 935-5885

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2008

Enumeration DateJune 13, 2008

Last NPPES UpdateMay 16, 20252 updates tracked since enumeration

NPPES CertifiedMay 16, 2025

✔ NPI 1437319407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 5101017571

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1105 SIXTH ST, Traverse City, MI 49684

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Secondary Practice Locations 2

Location 11000 Pavilions CirTraverse City, MI 49684-3198 · Phone (231) 932-3000

Location 2550 Munson AveTraverse City, MI 49686-3580 · Phone (231) 935-6520

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.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

Dr. Jacqueline Mcclellan Moore D.o. 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 ID446424832

PECOS Enrollment IDI20111121000852

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

192 services110 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

115 services110 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

54 services37 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

52 services52 patients

Hospital Affiliations CMS Care Compare 3

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230156

Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County

Emergency services Birthing friendly

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231322

Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers28 claims28 services$15.07 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier13 claims13 services$7.60 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers38 claims38 services$78.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EDWARD J WALSH MD

Radiology (Diagnostic Radiology)