Nicholas Jay Moore, M.D.
NPI 1265727556ActiveIndividual· Family Medicine, Sports Medicine· Novi, MI
Family Medicine, Sports Medicine (M.D.) in Novi, Michigan, trained at Medical College of Wisconsin (class of 2011). 387 Medicare patients in 2024, $70,189 paid; nearly all of their 256 Part D prescriptions were generic (96%). Trice Medical, Inc. was the largest of 3 companies reporting payments in 2024, $1,843 in all, mostly consulting fees.
Overview
| NPI | 1265727556 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 14, 2011 |
| Last updated in NPPES | Apr 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | 4301108292 | MI |
| Family Medicine | 207Q00000X | 4301108292 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Sports Medicine (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 387 |
|---|---|
| Services billed | 1,824 across 47 procedure codes |
| Paid by Medicare | $70,189 |
Part D prescriptions in 2024
| Prescriptions (claims) | 256 · 270 30-day fills |
|---|---|
| Patients | 124 |
| Total drug cost | $1,590 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | Medical College of Wisconsin |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Sports Medicine |
| Secondary specialties | Family Practice |
Medical groups
- Select Rehabilitation, LLCGlenview, IL · 2,046 clinicians
- Henry Ford Health Providence HospitalNovi, MI · 375 clinicians
Hospital affiliations
- Ascension Providence Hospital, Southfield and NoviSouthfield, MI
- Henry Ford Health HospitalDetroit, MI
- Huron Valley-Sinai HospitalCommerce Township, MI
Other facilities
- Rehabilitation Institute of MichiganInpatient rehabilitation facility · Detroit, MI
Industry payments (Open Payments)
- 2024$1,843 · 4 payments from 3 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Trice Medical, Inc. | $1,800 | 2 |
| Heron Therapeutics, Inc. | $22.10 | 1 |
| Medtronic, Inc. | $21.38 | 1 |
What the 2024 payments were for
- Consulting Fee$1,800 · 2 payments
- Food and Beverage$43.48 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine, Sports Medicine providers in Novi
- 1912682907
- 1447293360
All Family Medicine, Sports Medicine providers in Michigan →