DUANE MOORE (M.D.) – Emergency Medicine Physician, NPI 1700973435

DUANE MOORE (M.D.) is a healthcare provider. based in Carbondale, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036136007 (IL). The NPI Number for DUANE MOORE (M.D.) is 1700973435

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DUANE MOORE (M.D.)
NPI
1700973435
Phone
(618) 549-0721
Address
405 W Jackson St
Enumeration Date
6 October 2006
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6182575644
Graduation Year
2002 (24 years ago)
PAC ID
8224072103
Group Practice PAC ID
2769746056
Professional Enrollment ID
I20141203000479
Address ID
IL622265360BE4500XDRXX300

Contacts

Secure Messaging
dmoore86898@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness95
Years active:19State licenses:2Other names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for DUANE MOORE (M.D.)

  • 405 W Jackson St

    Carbondale, IL 629011462

    Phone: (618) 549-0721

    Fax: (618) 457-0469

    Type: Location

  • 201 S 14th St

    Herrin, IL 629483631

    Phone: (618) 942-2171

    Fax: (618) 351-4917

    Type: Location

  • 2 S Hospital Dr

    Murphysboro, IL 629663333

    Phone: (618) 684-3156

    Fax: (618) 529-0524

    Type: Location

  • 100 Dr Warren Tuttle Dr

    Harrisburg, IL 629462718

    Phone: (618) 253-0350

    Fax: (618) 252-2425

    Type: Location

  • 3691, Rutger Street, Tiffany, City of Saint Louis, Missouri, 63110, United States

    PROVIDER ENROLLMENT

    SAINT LOUIS, MO 631102515

    Phone: (314) 977-6828

    Fax: (314) 977-6777

    Type: Mailing

  • SSM Health Saint Louis University Hospital, 3635, Vista Avenue, Tiffany, City of Saint Louis, Missouri, 63110, United States

    WEST PAVILION, ROOM 315

    SAINT LOUIS, MO 631102539

    Phone: (314) 577-8776

    Fax: (314) 268-5697

    Type: Location

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: 2014-12-03

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
I20050613000035IEmergency MedicineMOTBD
I20141203000479IEmergency 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
99285Emergency department visit with high level of medical decision making7068$0
99284Emergency department visit with moderate level of medical decision making3635$0
99291Critical care, first 30-74 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 62901)

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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: 2769746056View full group profile
NameSpecialtyState
Emergency MedicineMO
Emergency MedicineMO
Nurse PractitionerIL
Nurse PractitionerMO
Internal Medicine, Emergency Medicine, Pediatric MedicineTX
Emergency MedicineIL
Emergency MedicineIL
Emergency Medicine, Internal MedicineMO
Emergency MedicineCT
Emergency MedicineIL

Reviews

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Frequently asked questions

What identifier follows DUANE MOORE (M.D.) across health systems?
The NPI 1700973435 uniquely identifies DUANE MOORE (M.D.) in U.S. healthcare data.
Does the public listing show DUANE MOORE (M.D.) as active?
DUANE MOORE (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DUANE MOORE (M.D.) provide?
DUANE MOORE (M.D.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DUANE MOORE (M.D.)?
The directory associates DUANE MOORE (M.D.) with Carbondale, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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