DR. JAKE T MOORE D.O.
NPI 1730537887
Family Medicine in Bowling Green, OH

Q: What is Jake Moore's NPI number?

The NPI number for Jake Moore is 1730537887. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Q: What is Jake Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jake Moore was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment

1180 N MAIN ST STE 5, BOWLING GREEN, OH 43402(419) 315-1225(419) 315-1226 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2023, Dec 7, 2020 (2 updates tracked since 2020).

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About Dr. Jake T Moore D.o. NPPES

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

DR. JAKE T MOORE D.O. (NPI 1730537887) is an individual family medicine provider in Bowling Green, Ohio, licensed in Ohio (34.014671) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and maintains a secondary practice location in Grand Blanc.

NPPES Registry Identity

NPI1730537887

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAKE T MOORECredential: D.O.

Location Address1180 N MAIN ST STE 5Bowling Green, OH 43402-4932

Mailing Address333 N Summit St Fl 7Toledo, OH 43604-1531 · (419) 315-1225 · Fax (419) 315-1226

Phone(419) 315-1225

Fax(419) 315-1226

Sole ProprietorYes

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2016

Enumeration DateMay 31, 2016

Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration

NPPES CertifiedDecember 7, 2020

✔ NPI 1730537887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 34.014671✔ Licensed in MI · 5101022457

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1180 N MAIN ST STE 5, Bowling Green, OH 43402

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Secondary Practice Location 1

Location 11 Genesys PkwyGrand Blanc, MI 48439-8065 · Phone (801) 755-3422

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, CareSource, MedMutual.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. Jake T 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 ID1658669445

PECOS Enrollment IDI20201015003121

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.

Hospital Affiliations CMS Care Compare

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43402 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSE M SNIDER CNP

Nurse Practitioner

1180 N MAIN ST STE 5
BOWLING GREEN, OH 43402

Wood County (419) 315-1225

CLARISSA SUGG CNP

Family Medicine

1180 N MAIN ST STE 5
BOWLING GREEN, OH 43402

Wood County (419) 315-1225

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 Jake Moore's NPI number?

The NPI number for Jake Moore is 1730537887. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Jake Moore located?

Jake Moore practices at 1180 N Main St Ste 5, Bowling Green, OH 43402. The listed phone number is (419) 315-1225.

What is Jake Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jake Moore enrolled in Medicare?

Yes. Jake 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.

What insurance does Jake Moore accept?

Health plans from Blue Care Network of Michigan, CareSource and MedMutual list Jake 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.

Is Jake Moore affiliated with any hospitals?

According to CMS data, Jake Moore is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Jake Moore was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.