DAVID K MOORE (D.O) – Hospitalist Physician, NPI 1720029911
Hospitalist Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Edap Technomed Inc | $123 |
| Sumitomo Pharma America, Inc. | $26 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071026000113 | I | Internal Medicine | MO | TBD |
| I20090610000001 | I | Hospitalist | IN | TBD |
| I20170217000362 | I | Internal Medicine | ME | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 274 | 267 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 45 | 25 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 18 | 14 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 46804)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Sleep Medicine | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Hospitalist, Family Practice, Geriatric Medicine | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN |
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