JOHN B IV MOORE (MD) – Plastic and Reconstructive Surgery Physician, NPI 1316928229

JOHN B IV MOORE (MD) is a healthcare provider. based in Olathe, Kansas. specializing in Plastic and Reconstructive Surgery Physician. They hold the professional credentials MD. They hold a License No. 0420320 (KS). The NPI Number for JOHN B IV MOORE (MD) is 1316928229

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
JOHN B IV MOORE (MD)
NPI
1316928229
Phone
(913) 782-0707
Address
20375 W 151ST ST
Enumeration Date
8 November 2005
Deactivation Date
8 November 2005
Reactivation Date
31 October 2006
Last Update Date
3 August 2011

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9137820707
Graduation Year
1977 (49 years ago)
PAC ID
1557362555
Group Practice PAC ID
9032249859
Professional Enrollment ID
I20111007000613
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN B IV MOORE (MD)

  • 20375, West 151st Street, Olathe, Johnson County, Kansas, 66061, United States

    SUITE 370

    OLATHE, KS 66061

    Phone: (913) 782-0707

    Fax: (913) 782-5813

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $344.

Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: AXOGEN ($184).

Total Amount

$344

General + Research + Ownership

Payments

3

Total payment records

General Amount

$344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66061)

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Provider's Procedures

JOHN B IV MOORE (MD) performs procedures in Plastic and Reconstructive Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PLASTIC AND RECONSTRUCTIVE SURGERYKS73140X-ray of fingers, minimum of 2 views2516

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: 9032249859View full group profile
NameSpecialtyState
-KS

Reviews

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Frequently asked questions

Is JOHN B IV MOORE (MD) listed with a National Provider Identifier?
Yes — JOHN B IV MOORE (MD) has NPI 1316928229 on file in the registry.
Is there an active status for JOHN B IV MOORE (MD)?
For scheduling context, JOHN B IV MOORE (MD) is shown as active in the registry.
What area of care is associated with JOHN B IV MOORE (MD)?
JOHN B IV MOORE (MD)'s record emphasizes Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Is JOHN B IV MOORE (MD) located near Olathe?
JOHN B IV MOORE (MD) currently maps to Olathe, Kansas in this extract.
When was this NPI issued?
Enumeration for JOHN B IV MOORE (MD) is noted as November 8, 2005 where the registry provides it.

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