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JASON ROBERT MOORE DPT, D.O.
NPI 1902037104
Emergency Medicine in Tulsa, OK

Active since August 05, 2009PECOS Enrolled

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2021, Jun 2, 2019, Feb 8, 2019 and 1 more (4 updates tracked since 2017).

About Jason Robert Moore Dpt, D.o. NPPES

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

JASON ROBERT MOORE DPT, D.O. (NPI 1902037104) is an individual emergency medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (6450) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902037104
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJASON ROBERT MOORECredential: DPT, D.O.
Location Address744 W 9TH STTulsa, OK 74127-9020
Mailing Address744 W 9th StTulsa, OK 74127-9020 · (918) 599-1000
Phone(918) 599-1000
Sole ProprietorNo
Enumeration DateAugust 5, 2009
Last NPPES UpdateMay 6, 20214 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1902037104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OK · 6450
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License 2452 (NE)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
744 W 9TH ST, Tulsa, OK 74127
Open in Google Maps ↗

Other Identifiers 1

Medicaid10025780200NE

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Robert Moore Dpt, D.o. 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 Reassignments

2

Medicare enrollment records show Jason Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oklahoma State University
1.3 mi
Medical Specialty
2345 SOUTHWEST BLVD
Tulsa, OK 74107
  • Reassigned Medicare billing, Oklahoma enrollment
  • 171 clinicians in this Medicare group
NPI 1306882261 (918) 561-5701
Emergency Services Of Oklahoma PC
103 mi
Emergency Medicine
901 N PORTER AVE
Norman, OK 73071
  • Reassigned Medicare billing, Oklahoma enrollment
  • 418 clinicians in this Medicare group
NPI 1215249891 (925) 924-1600

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 4

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 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 services29 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services19 patients
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.
23 services20 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74127 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 20

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

DEREK SROUJI
Student in an Organized Health Care Education/Training Program
744 W 9TH ST
TULSA, OK 74127
Osage County (405) 323-9423
OKLAHOMA STATE UNIVERSITY MEDICAL CENTER TRUST
Clinic/Center (Medical Specialty)
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 587-2561
DR. LEILA DANIELLE SEE D.O.
Radiology (Diagnostic Radiology)
744 W 9TH ST
TULSA, OK 74127
Osage County (981) 599-5031
WILLIAM BARRETT
Student in an Organized Health Care Education/Training Program
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 599-1000
DR. JUDITH WOLFSTEIN M.D.
Radiology (Diagnostic Radiology)
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 728-6194
KIMBERLIE K DULLYE MD
Anesthesiology
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 587-2561
MR. SEAN WILLIAM MEADOWS R.D.
Dietitian, Registered
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 587-2561
ALEXANDER DOUGLAS
Student in an Organized Health Care Education/Training Program
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 599-1000

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 Jason Moore's NPI number?

The NPI number for Jason Moore is 1902037104. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Jason Moore located?

Jason Moore practices at 744 W 9th St, Tulsa, OK 74127. The listed phone number is (918) 599-1000.

What is Jason Moore's specialty?

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

Is Jason Moore enrolled in Medicare?

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

Which organizations bill Medicare for Jason Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Moore reassigns Medicare benefits to 2 organizations: Oklahoma State University (Tulsa, OK) and Emergency Services Of Oklahoma PC (Norman, OK). 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 Jason Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Moore was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.