THAYER MOOR (M.D.) – Family Medicine Physician, NPI 1689933038

THAYER MOOR (M.D.) is a healthcare provider. based in Birmingham, Alabama. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 34525 (AL). The NPI Number for THAYER MOOR (M.D.) is 1689933038

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
THAYER MOOR (M.D.)
NPI
1689933038
Phone
(205) 592-5135
Address
840 Montclair Rd
Enumeration Date
4 May 2012
Last Update Date
17 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059302950
Graduation Year
2007 (19 years ago)
PAC ID
6406090752
Group Practice PAC ID
0648223602
Professional Enrollment ID
I20170502001386
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for THAYER MOOR (M.D.)

  • 840 Montclair Rd

    Suite 122

    Birmingham, AL 352131920

    Phone: (205) 592-5135

    Type: Location

  • PO BOX 530407

    BIRMINGHAM, AL 352530407

    Phone: (205) 616-5421

    Type: Mailing

  • 1 W LAKESHORE DR

    HOMEWOOD, AL 352090500

    Phone: (205) 930-2950

    Fax: (205) 408-1229

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($42).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$42
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170502001386IGeneral PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35213)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648223602View full group profile
NameSpecialtyState
Family PracticeAL
Preventive Medicine, Emergency MedicineKY
Family Practice, Emergency Medicine, Family PracticeAL
-AL
Emergency Medicine, Internal MedicineAL
Family PracticeKY
-AL
Family PracticeTN
Family Practice, Diagnostic RadiologyAL
-AL

Reviews

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Frequently asked questions

What is THAYER MOOR (M.D.)'s NPI number?
THAYER MOOR (M.D.)'s NPI is 1689933038 — the number used across U.S. healthcare to identify this provider.
Is THAYER MOOR (M.D.) still an active registrant?
THAYER MOOR (M.D.) carries an active NPI according to the public dataset.
How would a patient describe THAYER MOOR (M.D.)'s focus?
For THAYER MOOR (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for THAYER MOOR (M.D.)?
Travel planning: use Birmingham, Alabama as the reference point for THAYER MOOR (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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