DR. JACOB ANDREW MOORE D.O.
NPI 1508065244
Obstetrics & Gynecology in Oklahoma City, OK
About Dr. Jacob Andrew Moore D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB ANDREW MOORE D.O. (NPI 1508065244) is an individual obstetrics & gynecology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (4541) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jacob Andrew Moore D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacob Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edmond, OK 73013
- Reassigned Medicare billing, Oklahoma enrollment
- 171 clinicians in this Medicare group
Tulsa, OK 74129
- Reassigned Medicare billing, Oklahoma enrollment
- 104 clinicians in this Medicare group
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 73103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OKLAHOMA CITY, OK 73103
OKLAHOMA CITY, OK 73103
OKLAHOMA CITY, OK 73103
OKLAHOMA CITY, OK 73103
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 Jacob Moore's NPI number?
The NPI number for Jacob Moore is 1508065244. It was assigned to this individual provider in the NPPES registry on July 12, 2007.
Where is Jacob Moore located?
Jacob Moore practices at 1111 N Lee Ave Suite 300, Oklahoma City, OK 73103. The listed phone number is (405) 272-7005.
What is Jacob Moore's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Jacob Moore enrolled in Medicare?
Yes. Jacob Moore is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacob Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Moore reassigns Medicare benefits to 2 organizations: Medical Resource Management, LLC (Edmond, OK) and Tulsa Emergency Medical Center Inc (Tulsa, OK). 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 Jacob Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Moore accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jacob Moore 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.
When was this NPI record last updated?
The NPPES record for Jacob Moore was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Jacob Andrew Moore, D.O. · NPI 1508065244
Obstetrics & Gynecology physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since July 12, 2007.
## Identity
- **NPI:** 1508065244 (Entity type: Individual)
- **Enumerated:** July 12, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 4541 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1111 N LEE AVE, SUITE 300, Oklahoma City, OK 73103-2600
- **Phone:** (405) 272-7005 · **Fax:** (405) 272-7391
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medical Resource Management, LLC (NPI 1104056365, Edmond, OK); Tulsa Emergency Medical Center Inc (NPI 1063479087, Tulsa, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oklahoma State University College Of Osteopathic Medicine, class of 2006
## Record status
- **NPPES last updated:** October 21, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1508065244) · Data from the CMS NPPES public registry.