Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jesse S Moore, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1174641161

Dr. Jesse S Moore, MD is a Colorectal Surgery (Proctology) in Burlington, Vermont. Qualified in 2004, 22 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York and Vermont.

Years since qualifying
22
Licensed in
NY, VT
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 Colchester Ave
Burlington, VT 05401-1473
Phone: (802) 847-1288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Beekman St, Plattsburgh, NY 12901-1438 — (518) 561-2000

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 0420012220 (VT)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 261340 (NY)

Record details

NPI number1174641161
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023
Mailing address111 Colchester Ave, Burlington, VT 05401-1473

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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