JACQUELINE DIANA MOORE M.D.
NPI 1619173838
Surgery in Aldie, VA
About Jacqueline Diana Moore M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE DIANA MOORE M.D. (NPI 1619173838) is an individual surgery provider in Aldie, Virginia, licensed in Virginia (0101270338) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Stonesprings Hospital Center, and maintains a secondary practice location in Fairfax.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqueline Diana Moore M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jacqueline Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 1,534 clinicians in this Medicare group
Richmond, VA 23227
- Reassigned Medicare billing, Virginia enrollment
- 581 clinicians in this Medicare group
Farmville, VA 23901
- Reassigned Medicare billing, Virginia enrollment
- 757 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Stonesprings Hospital Center
Acute Care Hospitals · Dulles, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jacqueline Moore's NPI number?
The NPI number for Jacqueline Moore is 1619173838. It was assigned to this individual provider in the NPPES registry on June 25, 2007.
Where is Jacqueline Moore located?
Jacqueline Moore practices at 24560 Southpoint Dr Ste 300, Aldie, VA 20105. The listed phone number is (703) 258-0399.
What is Jacqueline Moore's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Jacqueline Moore enrolled in Medicare?
Yes. Jacqueline Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacqueline Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Moore reassigns Medicare benefits to 3 organizations: Privia Medical Group, LLC (Arlington, VA), Bon Secours Medical Group Richmond Specialty Care LLC (Richmond, VA) and Centra Medical Group. LLC (Farmville, VA). 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 Jacqueline Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacqueline Moore affiliated with any hospitals?
According to CMS data, Jacqueline Moore is affiliated with Stonesprings Hospital Center.
When was this NPI record last updated?
The NPPES record for Jacqueline Moore was last updated on September 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jacqueline Diana Moore, M.D. · NPI 1619173838
Surgery physician in Aldie, Virginia. Individual provider, active in the CMS NPPES registry since June 25, 2007.
## Identity
- **NPI:** 1619173838 (Entity type: Individual)
- **Enumerated:** June 25, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 0101270338 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 24560 SOUTHPOINT DR STE 300, Aldie, VA 20105-3504
- **Phone:** (703) 258-0399 · **Fax:** (703) 327-2039
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Privia Medical Group, LLC (NPI 1013042480, Arlington, VA); Bon Secours Medical Group Richmond Specialty Care LLC (NPI 1477112225, Richmond, VA); Centra Medical Group. LLC (NPI 1336638865, Farmville, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** September 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619173838) · Data from the CMS NPPES public registry.