Doctor profile · Federal record
Dr. MARISSA MOORE, MD
Family Medicine Physician (CMS: FAMILY PRACTICE) · Family Medicine Physician · MANDEVILLE, LA
- NPI 1295297638
- Accepts Medicare
- 7 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
201 SAINT ANN DR STE B
MANDEVILLE, LA 704713472
(985) 898-4001 - Additional location
-
110 E 2nd St Fl 3
Royal Oak, MI 480672694
(248) 546-2110
fax (248) 546-8176 - Mailing address
-
1 FORD PL STE 3A
DETROIT, MI 482023450
Credentials & registration
- NPI registered
- April 2019 — 7 yrs on file
- Profile last updated
- September 17, 2025
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Michigan #4301514377 · Louisiana #333248
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295297638. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
183
Distinct HCPCS
5
Medicare allowed
$15,181
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 93 | 72 | $86 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 28 | 24 | $64 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 27 | 25 | $63 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 18 | 17 | $89 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $121 |
In context: peer comparison
Among 11 peers in this city , average services per provider: 56. This provider delivers 3.3× the peer median.Open Payments
Industry payments received
All-time total
$110
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Axsome Therapeutics, Inc. | 1 | $110.47 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
550
Patients
299
Total drug cost
$6,951
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 67 | 28 | $941 |
| Gabapentin | Generic | 65 | 19 | $1,377 |
| Amlodipine Besylate | Generic | 55 | 27 | $353 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 47 | 45 | $374 |
| Atorvastatin Calcium | Generic | 44 | 27 | $465 |
| Trazodone Hcl | Generic | 41 | 14 | $467 |
| Losartan Potassium | Generic | 32 | 15 | $535 |
| Pantoprazole Sodium | Generic | 30 | 16 | $250 |
| Rosuvastatin Calcium | Generic | 28 | 16 | $608 |
| Tizanidine Hcl | Generic | 26 | 21 | $159 |