MONTE CLAYTON MOORE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1245290873

MONTE CLAYTON MOORE (CRNA) is a healthcare provider. based in Lowell, Arkansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. CO1474 (AR). The NPI Number for MONTE CLAYTON MOORE (CRNA) is 1245290873

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MONTE CLAYTON MOORE (CRNA)
NPI
1245290873
Phone
(913) 381-5200
Address
PO BOX 507
Enumeration Date
27 March 2006
Last Update Date
21 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4793388000
Graduation Year
2004 (22 years ago)
PAC ID
3971575846
Group Practice PAC ID
3173056298
Professional Enrollment ID
I20040811000219
Address ID
AR727581452RO2710XLNXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR

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Provider Addresses for MONTE CLAYTON MOORE (CRNA)

  • 507, North Wharton Road, Lowell, Benton County, Arkansas, 72745, United States

    LOWELL, AR 727450507

    Phone: (913) 381-5200

    Fax: (913) 381-0979

    Type: Mailing

  • Mercy Hospital, 2710, Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States

    ROGERS, AR 727581452

    Phone: (913) 381-5200

    Fax: (913) 381-0979

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($59).

Total Amount

$72

General + Research + Ownership

Payments

4

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-08-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040811000219ICertified Registered Nurse Anesthetist (Crna)ARTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope7575$0
00812Anesthesia for exam of colon using an endoscope5454$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3131$0
00813Anesthesia for procedure on small and large bowel using an endoscope1515$0
00320Anesthesia for other procedure on neck area (1 year or older)1111$0
View full utilization report →

Insurance plans in this area (ZIP 72745)

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Provider's Procedures

MONTE CLAYTON MOORE (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETAR00790Anesthesia for procedure in upper abdomen including use of an endoscope1212

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: 3173056298View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YAR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR

Reviews

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Frequently asked questions

How do I look up MONTE CLAYTON MOORE (CRNA) by NPI?
Use NPI 1245290873 when you need to reference MONTE CLAYTON MOORE (CRNA) in forms, claims, or directories.
Is MONTE CLAYTON MOORE (CRNA) currently active in the NPI registry?
CMS-published data lists MONTE CLAYTON MOORE (CRNA) as an active registrant.
Does MONTE CLAYTON MOORE (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for MONTE CLAYTON MOORE (CRNA). Clinical services aligned with this taxonomy classification.
Does MONTE CLAYTON MOORE (CRNA) practice in Arkansas?
You will see Lowell, Arkansas on file for MONTE CLAYTON MOORE (CRNA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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