TANNER MILES MOORE (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1144673237
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
472 PODIATRY in AZ
Provider Addresses for TANNER MILES MOORE (DPM)
520 Rose Ln
Wickenburg, AZ 853901447
Phone: (760) 613-4402
Type: Location
Wickenburg Community Hospital, 520, Rose Lane, Wickenburg, Maricopa County, Arizona, 85390, United States
WICKENBURG, AZ 853901447
Phone: (760) 613-4402
Type: Location
519 ROSE LN
WICKENBURG, AZ 853901448
Phone: (602) 675-0478
Fax: (602) 675-0479
Type: Location
523, Rose Lane, Wickenburg, Maricopa County, Arizona, 85390, United States
WICKENBURG, AZ 853901448
Phone: (760) 613-4402
Type: Mailing
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 $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2023-08-17 • Largest payer in this snapshot: Stryker Corporation ($77).
Total Amount
$77
General + Research + Ownership
Payments
2
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $77 |
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: 2019-08-06
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190806002569 | I | Podiatry | AZ | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 1,924 | 364 | $0 |
| A2001 | Innovamatrix ac, per square centimeter | 1,165 | 15 | $0 |
| 97750 | Test or measurement for functional capacity, each 15 minutes | 1,132 | 320 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,038 | 370 | $0 |
| 88311 | Preparation of tissue for examination by removing any calcium present | 962 | 364 | $0 |
Insurance plans in this area (ZIP 85390)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | AZ | |
| Nurse Practitioner | AZ | |
| P O D I A T R Y | TX | |
| P O D I A T R Y | AZ | |
| P O D I A T R Y | TX | |
| P O D I A T R Y | ID | |
| P O D I A T R Y | AZ | |
| P O D I A T R Y | AZ | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | AZ |
Reviews
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