DR. KYLE R MOORE (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1093155442

DR. KYLE R MOORE (D.P.M.) is a healthcare provider. based in West palm beach, Florida. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. PO3825 (FL). The NPI Number for DR. KYLE R MOORE (D.P.M.) is 1093155442

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE R MOORE (D.P.M.)
NPI
1093155442
Phone
(561) 844-5255
Address
901 45th Street
Enumeration Date
30 June 2013
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2185467000
Graduation Year
2013 (13 years ago)
PAC ID
6406136761
Group Practice PAC ID
9537146550
Professional Enrollment ID
I20200520001417
Address ID
MN564411645CR320XXSTXX400

Contacts

Secure Messaging
kmoore488951@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

1,444 PODIATRY in FL

Provider Addresses for DR. KYLE R MOORE (D.P.M.)

  • 901 45th Street

    Kimmel Bldg

    West Palm Beach, FL 334072413

    Phone: (561) 844-5255

    Fax: (561) 844-5245

    Type: Location

  • 320 EAST MAIN STREET

    CROSBY, MN 56441

    Phone: (218) 546-7000

    Fax: (218) 546-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $3,959.

Total Amount is formed as General ($3,959) + Research ($0) + Ownership ($0) = $3,959.

Last reported payment date: 2024-12-15 • Largest payer in this snapshot: Stryker Corporation ($3,936).

Total Amount

$3,959

General + Research + Ownership

Payments

46

Total payment records

General Amount

$3,959

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$3,936
Novastep Inc.$22
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: 2020-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20161205000317IPodiatryFLTBD
I20200520001417IPodiatryMNTBD

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
73630X-ray of foot, minimum of 3 views9566$0
99203New patient office or other outpatient visit, 30-44 minutes4343$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg3817$0
99213Established patient office or other outpatient visit, 20-29 minutes3626$0
73610X-ray of ankle, minimum of 3 views3017$0
View full utilization report →

Insurance plans in this area (ZIP 33407)

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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: 9537146550View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Nurse PractitionerMN
Family PracticeMN
Certified Registered Nurse Anesthetist (Crna)IN
H O S P I T A L I S TMN
Nurse PractitionerMN
Internal Medicine, Hospitalist, Internal MedicineFL
Family PracticeMN

Reviews

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Frequently asked questions

How is DR. KYLE R MOORE (D.P.M.) identified in CMS data?
CMS-hosted NPPES data lists DR. KYLE R MOORE (D.P.M.) with NPI 1093155442.
Does CMS list DR. KYLE R MOORE (D.P.M.) as active?
Yes — DR. KYLE R MOORE (D.P.M.) is active in the NPI listing used on this page.
What healthcare role does DR. KYLE R MOORE (D.P.M.) hold?
Scheduling teams often label DR. KYLE R MOORE (D.P.M.) under Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KYLE R MOORE (D.P.M.)?
DR. KYLE R MOORE (D.P.M.)'s geographic hint is West Palm Beach, Florida in our summary view.
Why does DR. KYLE R MOORE (D.P.M.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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