THOMAS AUGUST MORAN (MD) – Sports Medicine (Family Medicine) Physician, NPI 1649534447

THOMAS AUGUST MORAN (MD) is a healthcare provider. based in Evanston, Illinois. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036139014 (IL). The NPI Number for THOMAS AUGUST MORAN (MD) is 1649534447

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS AUGUST MORAN (MD)
NPI
1649534447
Phone
(708) 738-9909
Address
2650 Ridge Ave
Enumeration Date
27 June 2012
Last Update Date
7 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8476779600
Graduation Year
2012 (14 years ago)
PAC ID
4789829680
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20170621002200
Address ID
IL600761214SK9600XRDXX400

Contacts

Secure Messaging
tmoran265357@direct.northshore.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

340 SPORTS MEDICINE in IL

Provider Addresses for THOMAS AUGUST MORAN (MD)

  • 2650 Ridge Ave

    Suite 1304

    Evanston, IL 602011718

    Phone: (708) 738-9909

    Fax: (847) 657-1823

    Type: Location

  • 9650 GROSS POINT RD.

    SUITE 2900

    SKOKIE, IL 600761214

    Phone: (847) 866-7846

    Fax: (224) 251-4568

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-06-21

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
I20170621002200ISports MedicineILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes344254$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance255169$0
99204New patient office or other outpatient visit, 45-59 minutes138138$0
99213Established patient office or other outpatient visit, 20-29 minutes128109$0
99203New patient office or other outpatient visit, 30-44 minutes105105$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

What federal number belongs to THOMAS AUGUST MORAN (MD)?
The federal identifier for THOMAS AUGUST MORAN (MD) is NPI 1649534447.
Is THOMAS AUGUST MORAN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does THOMAS AUGUST MORAN (MD) work in?
You can think of THOMAS AUGUST MORAN (MD) as practicing within Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location shows for THOMAS AUGUST MORAN (MD)?
We surface Evanston, Illinois for THOMAS AUGUST MORAN (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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