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DR. JACOB ROBERT MOORE M.D.
NPI 1750762928
Emergency Medicine in Chicago, IL

Active since June 14, 2015PECOS EnrolledAccepts Medicare Assignment
5841 S MARYLAND AVE RM L539, CHICAGO, IL 60637(773) 702-9500 Get Directions Write a Review

NPPES record last updated: June 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob Robert Moore M.d. NPPES

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

DR. JACOB ROBERT MOORE M.D. (NPI 1750762928) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125066516) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1750762928
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JACOB ROBERT MOORECredential: M.D.
Location Address5841 S MARYLAND AVE RM L539Chicago, IL 60637-1447
Mailing Address100 E 14th St Apt 803Chicago, IL 60605-3666 · (815) 988-3623
Phone(773) 702-9500
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 14, 2015
✔ NPI 1750762928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 125066516
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5841 S MARYLAND AVE RM L539, Chicago, IL 60637
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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 and accepts Medicare assignment

Dr. Jacob Robert 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.

PECOS PAC ID42513756
PECOS Enrollment IDI20180724002480, I20260218000241
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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services37 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
32 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Morrison Community Hospital

Critical Access Hospitals · Morrison, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141329
Location303 N Jackson StreetMorrison, IL 61270 · Whiteside County
Emergency services

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 1750762928. It was assigned to this individual provider in the NPPES registry on June 14, 2015.

Where is Jacob Moore located?

Jacob Moore practices at 5841 S Maryland Ave Rm L539, Chicago, IL 60637. The listed phone number is (773) 702-9500.

What is Jacob Moore's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacob Moore enrolled in Medicare?

Yes. Jacob 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.

Is Jacob Moore affiliated with any hospitals?

According to CMS data, Jacob Moore is affiliated with Rush Oak Park Hospital, Advocate Illinois Masonic Medical Center, Riverside Medical Center, Morrison Community Hospital and Franciscan Health Michigan City.

When was this NPI record last updated?

The NPPES record for Jacob Moore was last updated on June 14, 2015. 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.