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DR. JACOB ANDREW MOORE D.O.
NPI 1508065244
Obstetrics & Gynecology in Oklahoma City, OK

Active since July 12, 2007PECOS Enrolled
1111 N LEE AVE, SUITE 300, OKLAHOMA CITY, OK 73103(405) 272-7005(405) 272-7391 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1508065244
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JACOB ANDREW MOORECredential: D.O.
Location Address1111 N LEE AVE, SUITE 300Oklahoma City, OK 73103-2600
Mailing AddressPo Box 268986Oklahoma City, OK 73126-8986 · (405) 231-3857 · Fax (405) 272-7977
Phone(405) 272-7005
Fax(405) 272-7391
Sole ProprietorYes
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2006
Enumeration DateJuly 12, 2007
Last NPPES UpdateOctober 21, 2014
✔ NPI 1508065244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OK · 4541
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1111 N LEE AVE, Oklahoma City, OK 73103
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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 (PECOS)

Dr. Jacob Andrew Moore D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385838085
PECOS Enrollment IDI20101026001597
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 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.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

MS. NATASHA KAY ANDERSON LCSW
Social Worker (Clinical)
1111 N LEE AVE, SUITE 400
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 235-8188
MS. NETRI NIT ARU TEREF TA CNM
Midwife
1111 N LEE AVE, SUITE 300
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 272-7005
SAINTS MEDICAL GROUP, LLC
Orthopaedic Surgery
1111 N LEE AVE, SUITE 320
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 272-8325
SAINTS MEDICAL GROUP, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1111 N LEE AVE, SUITE 334
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 272-4953
MICHAEL D ELDER MD INC
Anesthesiology
1111 N LEE AVE, SUITE 236
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 272-9644
MARY K. CASEY, DDS, PC
Dentist (General Practice)
1111 N LEE AVE, SUITE 331
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 236-2094
MARCIA MEIRING M.D.
Psychiatry & Neurology (Psychiatry)
1111 N LEE AVE, SUITE 400
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 235-8188
MS. DEBBIE JEAN FROST HEYCK MS, RN, CNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
1111 N LEE AVE, SUITE 400
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 235-8188

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.

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 11 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.