DR. MARK J JR. MOORE (MD) – Anesthesiology Physician, NPI 1649259201

DR. MARK J JR. MOORE (MD) is a healthcare provider. based in Decatur, Illinois. specializing in Anesthesiology Physician. They hold the professional credentials MD. The NPI Number for DR. MARK J JR. MOORE (MD) is 1649259201

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK J JR. MOORE (MD)
NPI
1649259201
Phone
(800) 897-6169
Address
PO BOX 25137
Enumeration Date
12 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2178762575
Graduation Year
1982 (44 years ago)
PAC ID
4385775139
Group Practice PAC ID
3173592722
Professional Enrollment ID
I20100623000607
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for DR. MARK J JR. MOORE (MD)

  • PO BOX 25137

    DECATUR, IL 625255137

    Phone: (800) 897-6169

    Fax: (800) 897-6170

    Type: Mailing

  • Decatur Memorial Hospital, 2300, North Edward Street, Old King's Orchard, Decatur, Macon County, Illinois, 62526, United States

    DECATUR, IL 625264163

    Phone: (217) 876-8121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($48).

Total Amount

$100

General + Research + Ownership

Payments

5

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope9090$0
00811Anesthesia for other procedure on large bowel using an endoscope7876$0
00142Anesthesia for lens surgery7665$0
00812Anesthesia for exam of colon using an endoscope5454$0
01402Anesthesia for procedure for total knee joint replacement4040$0
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Insurance plans in this area (ZIP 62525)

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Provider's Procedures

DR. MARK J JR. MOORE (MD) performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIL01402Anesthesia for open or endoscopic total knee joint replacement3939

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: 3173592722View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YMN
-IL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
Anesthesiology, Interventional Pain Management, Pain ManagementIL

Reviews

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Frequently asked questions

What NPI should I save for DR. MARK J JR. MOORE (MD)?
Save NPI 1649259201 if you need a stable reference for DR. MARK J JR. MOORE (MD).
Is DR. MARK J JR. MOORE (MD) currently active in the NPI registry?
CMS-published data lists DR. MARK J JR. MOORE (MD) as an active registrant.
What kind of provider is DR. MARK J JR. MOORE (MD)?
The page reflects Anesthesiology Physician for DR. MARK J JR. MOORE (MD). Clinical services aligned with this taxonomy classification.
Does DR. MARK J JR. MOORE (MD) practice in Illinois?
You will see Decatur, Illinois on file for DR. MARK J JR. MOORE (MD) alongside any extra practice locations.
What if Decatur, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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