DAVID K MOORE (D.O) – Hospitalist Physician, NPI 1720029911

DAVID K MOORE (D.O) is a healthcare provider. based in Fort wayne, Indiana. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials D.O. They hold a License No. 02003501A (IN). The NPI Number for DAVID K MOORE (D.O) is 1720029911

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DAVID K MOORE (D.O)
NPI
1720029911
Phone
(765) 698-4703
Address
6123 ALMOND BLUFF PASS
Enumeration Date
9 June 2006
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
3178852860
Graduation Year
1997 (29 years ago)
PAC ID
3173412038
Group Practice PAC ID
7012067697
Professional Enrollment ID
I20090610000001
Address ID
IN461431070GR701XXRDXX502

Contacts

Secure Messaging
direct.indianainternalmedicine@ccme.com
Secure Messaging
dkmoore@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness95
Years active:20State licenses:2Other names

878 HOSPITALIST in IN

Provider Addresses for DAVID K MOORE (D.O)

  • 6123, Almond Bluff Pass, The Lakes Of Liberty Mills, Fort Wayne, Allen County, Indiana, 46804, United States

    FORT WAYNE, IN 468044259

    Phone: (765) 698-4703

    Type: Mailing

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 2401 W UNIVERSITY AVE

    MUNCIE, IN 473033428

    Phone: (765) 741-1515

    Fax: (765) 751-5087

    Type: Location

  • 101, East County Line Road, Greenwood, Johnson County, Indiana, 46143, United States

    GREENWOOD, IN 461431070

    Phone: (317) 885-2860

    Fax: (317) 885-2869

    Type: Location

  • 701 E COUNTY LINE RD STE 204

    GREENWOOD, IN 461431071

    Phone: (317) 885-3793

    Fax: (317) 885-3799

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Edap Technomed Inc ($123).

Total Amount

$149

General + Research + Ownership

Payments

4

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20071026000113IInternal MedicineMOTBD
I20090610000001IHospitalistINTBD
I20170217000362IInternal MedicineMETBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes274267$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4525$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1814$0
99239Hospital discharge day management, more than 30 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 46804)

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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: 7012067697View full group profile
NameSpecialtyState
Internal Medicine, Sleep MedicineIN
Physician AssistantIN
Physician AssistantIN
-IN
Nurse PractitionerIN
Hospitalist, Family Practice, Geriatric MedicineIN
Nurse PractitionerIN
Nurse PractitionerIN
Physician AssistantIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

How is DAVID K MOORE (D.O) identified in CMS data?
CMS-hosted NPPES data lists DAVID K MOORE (D.O) with NPI 1720029911.
Can I rely on DAVID K MOORE (D.O) being an active provider?
As of the registry snapshot, DAVID K MOORE (D.O) is marked active.
What is DAVID K MOORE (D.O)'s primary classification?
Hospitalist Physician is the headline specialty for DAVID K MOORE (D.O) here. Clinical services aligned with this taxonomy classification.
What address line appears for DAVID K MOORE (D.O)?
DAVID K MOORE (D.O)'s geographic hint is Fort Wayne, Indiana in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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