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DR. JUSTIN DERRICK MOORE M.D.
NPI 1619323946
Obstetrics & Gynecology - Maternal & Fetal Medicine in Akron, OH

Active since May 05, 2016PECOS Enrolled
215 W BOWERY ST STE 5, AKRON, OH 44308(330) 543-4500 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 3, 2024, Jun 8, 2021, Jun 2, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Justin Derrick Moore M.d. NPPES

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

DR. JUSTIN DERRICK MOORE M.D. (NPI 1619323946) is an individual maternal & fetal medicine provider in Akron, Ohio, licensed in Ohio (35.139964) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619323946
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDR. JUSTIN DERRICK MOORECredential: M.D.
Location Address215 W BOWERY ST STE 5Akron, OH 44308-1069
Mailing Address2178 Edgeview DrHudson, OH 44236-1825 · (810) 223-1330
Phone(330) 543-4500
Sole ProprietorNo
Enumeration DateMay 5, 2016
Last NPPES UpdateJanuary 21, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1619323946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in OH · 35.139964
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 35.139964 (OH)
215 W BOWERY ST STE 5, Akron, OH 44308
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Other Names 1

Professional Name (2)Justin Derrick Moore M.d

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, SummaCare and more.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. Justin Derrick Moore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summa Physicians LLC
0.2 mi
Plastic Surgery
388 S MAIN ST STE 120
Akron, OH 44311
  • Reassigned Medicare billing, Ohio enrollment
  • 655 clinicians in this Medicare group
NPI 1093979015 (330) 334-7800

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 44308 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Justin Moore's NPI number?

The NPI number for Justin Moore is 1619323946. It was assigned to this individual provider in the NPPES registry on May 5, 2016. The provider is also known as Justin Derrick Moore M.D.

Where is Justin Moore located?

Justin Moore practices at 215 W Bowery St Ste 5, Akron, OH 44308. The listed phone number is (330) 543-4500.

What is Justin Moore's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Justin Moore enrolled in Medicare?

Yes. Justin Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Moore reassigns Medicare benefits to Summa Physicians LLC (Akron, OH). The 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 Justin Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Moore accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, SummaCare and UnitedHealthcare list Justin 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 Justin Moore was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.