KEVIN T. MOORE (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1548340409

KEVIN T. MOORE (M.D.) is a healthcare provider. based in Bloomington, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01067765A (IN). The NPI Number for KEVIN T. MOORE (M.D.) is 1548340409

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN T. MOORE (M.D.)
NPI
1548340409
Phone
(812) 353-3087
Address
PO BOX 1329
Enumeration Date
16 October 2006
Last Update Date
21 August 2014

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8884843258
Graduation Year
1993 (33 years ago)
PAC ID
5799842613
Group Practice PAC ID
9638617913
Professional Enrollment ID
I20100811000419
Address ID
IN462021239IN1701XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,268 EMERGENCY MEDICINE in IN

Loading map...

Provider Addresses for KEVIN T. MOORE (M.D.)

  • Bloomington Post Office, South Walnut Street, Bloomington, Monroe County, Indiana, 47401, United States

    BLOOMINGTON, IN 474021329

    Phone: (812) 353-3087

    Type: Mailing

  • IU Health Bloomington Hospital, 601, West 2nd Street, Bloomington, Monroe County, Indiana, 47402, United States

    BLOOMINGTON, IN 474032317

    Phone: (812) 353-9515

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2010-08-11

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
I20100811000419IEmergency MedicineINTBD

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 making188180$0
99284Emergency department visit with moderate level of medical decision making7069$0
99283Emergency department visit with low level of medical decision making2927$0
99291Critical care, first 30-74 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 47402)

Loading plans...

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: 9638617913View full group profile
NameSpecialtyState
Pediatric MedicineNC
U R O L O G YIN
Diagnostic Radiology, Interventional RadiologyNY
Nurse PractitionerIN
P A T H O L O G YIN
O T O L A R Y N G O L O G YIN
E N D O C R I N O L O G YIN
Family Practice, Sports MedicineIN
Gastroenterology, Internal MedicineIN
Orthopedic SurgeryMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to KEVIN T. MOORE (M.D.)?
NPI 1548340409 is assigned to KEVIN T. MOORE (M.D.) under the national enumeration system.
Does this profile mean KEVIN T. MOORE (M.D.) is currently active?
Yes — KEVIN T. MOORE (M.D.) appears active in the national provider directory.
Does KEVIN T. MOORE (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medical Services (Emergency Medicine) Physician for KEVIN T. MOORE (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for KEVIN T. MOORE (M.D.)?
The page summarizes Bloomington, Indiana for KEVIN T. MOORE (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

JOEL NELSON (M.D.)

Emergency Medical Services (Emergency Medicine) Physician
Premier Healthcare Same Day Appointment / Walk In Clinic, 550, South Landmark Avenue, Bloomington, Monroe County, Indiana, 47403, United States
NPI: 1851390504

DR. CHRISTOPHER M SCIPIONE

Emergency Medicine Physician
Bloomington Post Office, South Walnut Street, Bloomington, Monroe County, Indiana, 47401, United States
NPI: 1205893484

DR. ROBERT L JR. GODDARD (MD)

Emergency Medical Services (Emergency Medicine) Physician
817, West Rosewood Drive, Northwood Estates, Bloomington, Monroe County, Indiana, 47404, United States
NPI: 1982658886

KENTUCKIANA EMERGENCY PHYSICIANS, PLLC

Emergency Medicine Physician
4778, East Donington Drive, Bloomington, Monroe County, Indiana, 47401, United States
NPI: 1801833140

JEANETTE HAMMERSTEIN (MD)

Emergency Medical Services (Emergency Medicine) Physician
Monroe Hospital, 4011, South Monroe Medical Park Boulevard, Garden Acres, Bloomington, Monroe County, Indiana, 47403, United States
NPI: 1841211042

P JOHN KONICKI (DO)

Emergency Medicine Physician
4440 W 95th St
NPI: 1336152891

THOMAS A TARTER (MD)

Emergency Medical Services (Emergency Medicine) Physician
6333 E KERR CREEK RD
NPI: 1740350305

DR. JAMES SCOTT FRASURE (M.D.)

Emergency Medical Services (Emergency Medicine) Physician
4030, West Breezewood Court, Bloomington, Monroe County, Indiana, 47404, United States
NPI: 1689842262