Jacqueline Diana Moore, M.D.
NPI 1619173838ActiveIndividual· Surgery· Aldie, VA
Surgery (M.D.) with Privia Medical Group, LLC and 1 other group, practicing in Aldie, Virginia. Mostly services rather than prescriptions: Medicare paid $12,946 for 53 patients in 2024, with only 13 Part D claims. Solta Medical, A Division of Bausch Health US, LLC reported $18.22 in payments in 2025, mostly food and beverage. Lists Stonesprings Hospital Center as a hospital affiliation.
Overview
| NPI | 1619173838 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 25, 2007 |
| Last updated in NPPES | Sep 28, 2025 |
| Certified by provider | Sep 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 0101270338 | VA |
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) | Enrolled Practitioner - General Surgery (DC); Practitioner - General Surgery (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 107 across 39 procedure codes |
| Paid by Medicare | $12,946 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13 · 15 30-day fills |
|---|---|
| Total drug cost | $72.80 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | General Surgery |
Medical groups
- Privia Medical Group, LLCFairfax, VA · 1,533 clinicians
- Centra Medical Group LLCLynchburg, VA · 724 clinicians
Hospital affiliation
- Stonesprings Hospital CenterDulles, VA
Industry payments (Open Payments)
- 2025$18.22 · 1 payment from 1 company
- 2024$80.39 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Solta Medical, A Division of Bausch Health US, LLC | $18.22 | 1 |
What the 2025 payments were for
- Food and Beverage$18.22 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records