Evan Moore, MD
NPI 1083209670ActiveIndividual· Student in an Organized Health Care Education/Training Program· Portsmouth, VA
Student in an Organized Health Care Education/Training Program (MD) in Portsmouth, Virginia, with an NPI issued in March 2021. Part D covered 17 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1083209670 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 4, 2021 |
| Last updated in NPPES | Mar 18, 2021 |
| Certified by provider | Mar 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 17 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $84.96 |
| Generic share | 100% of claims |
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All 168 Student in an Organized Health Care Education/Training Program providers in Portsmouth · All Student in an Organized Health Care Education/Training Program providers in Virginia