Physician

Douglas R Moore, D.O.

According to 2025 Medicare claims, Douglas Moore, D.O. (NPI: 1194729053) practices cardiac electrophysiology in the Muskegon-Norton Shores, MI market, with the plurality of this provider's patient population coming from Muskegon, MI. This provider's primary affiliated billing organization is MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES (NPI: 1336573393; TIN: 383176550) and primary practice location at 49444-1849. Moore is affiliated with the Trinity Health Integrated Care (ACO ID: A3454) and St. John Providence ACO, LLC (ACO ID: A5417), participating under the MSSP model.

Moore's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 478 traditional Medicare patients, billed 1,520 HCPCS/CPT codes, and received $110,182 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 1,283 prescription claims across 295 beneficiaries totaling $331,455 in drug costs, led by Eliquis (Apixaban). DME data shows 11 claims. Open Payments data shows 28 records totaling $1,204. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $232,489 to $110,182. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $85,080 to $331,455. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $52,882 to $1,060.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$124K$248K2015 Medicare payment: $232,489 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $234,038 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $247,530 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $237,682 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $181,669 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $177,893 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $169,461 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $134,631 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $158,286 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $110,182 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158742,427$232,489
20168752,396$234,038
20178182,295$247,530
20187582,365$237,682
20195101,310$181,669
20205601,596$177,893
20215711,679$169,461
20225271,701$134,631
20235551,906$158,286
20244781,520$110,182

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$166K$331K2015 Drug cost: $85,080 (USD; Tot_Drug_Cst)2016 Drug cost: $111,740 (USD; Tot_Drug_Cst)2017 Drug cost: $114,190 (USD; Tot_Drug_Cst)2018 Drug cost: $187,153 (USD; Tot_Drug_Cst)2019 Drug cost: $122,238 (USD; Tot_Drug_Cst)2020 Drug cost: $163,845 (USD; Tot_Drug_Cst)2021 Drug cost: $247,820 (USD; Tot_Drug_Cst)2022 Drug cost: $292,747 (USD; Tot_Drug_Cst)2023 Drug cost: $322,455 (USD; Tot_Drug_Cst)2024 Drug cost: $331,455 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015196868$85,080
2016185831$111,740
2017215913$114,190
20182221,049$187,153
2019171675$122,238
2020203808$163,845
2021224912$247,820
2022241996$292,747
20233051,176$322,455
20242951,283$331,455

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$61K$122K2015 Medicare payment: $52,515 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $121,939 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $55,067 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $86,518 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $29,830 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $48,413 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $683 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R25$52,515
20161861$121,939
20171129$55,067
20181445$86,518
2019N/R16$29,830
2020N/R24$48,413
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R11$683

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6873$103
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more102129$77
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more200251$57
93280Programming of dual lead pacemaker system97125$42
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes94208$40

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban19912,794$240,414
MultaqDronedarone Hcl20900$22,447
Amiodarone HclAmiodarone Hcl20716,336$16,785
XareltoRivaroxaban15930$15,643
DofetilideDofetilide896,674$12,801

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R11$683

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.25$567ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
Research PaymentsReported research-related payment or transfer-of-value amount.3$638Ascension St John Hospital
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Douglas R. Moore, D.O.?

Tedicare shows public-source Medicare data for Douglas R. Moore, D.O. (NPI 1194729053), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Douglas R. Moore, D.O. have ACO affiliation data?

Douglas R. Moore, D.O. is shown with ACO affiliation data for Trinity Health Integrated Care (MSSP, ACO ID A3454) and St. John Providence ACO, LLC (MSSP, ACO ID A5417).

What billing organization is linked to Douglas R. Moore, D.O.?

Douglas R. Moore, D.O. is linked to MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES (billing NPI 1336573393) in the available physician profile data.

Does Douglas R. Moore, D.O. have Open Payments data?

Douglas R. Moore, D.O. has 28 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.