Olyn Fred Moore III, MD
NPI 1245293828ActiveIndividual· Surgery· Dyersburg, TN
Surgery (MD) in Dyersburg, Tennessee, licensed in TN, with an NPI issued in April 2006. Part D covered 22 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1245293828 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 6, 2006 |
| Last updated in NPPES | Jul 31, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | MD012164 | TN |
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) | 22 · 26 30-day fills |
|---|---|
| Total drug cost | $2,575 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Dyersburg
- 1720208242
- 1043474968
- 1023071651
- 1881615292
- 1558565200