KATHERINE J MOORE (M.D) – Internal Medicine Physician, NPI 1558523076

KATHERINE J MOORE (M.D) is a healthcare provider. based in Freeport, Maine. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 04-34980 (KS). The NPI Number for KATHERINE J MOORE (M.D) is 1558523076

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE J MOORE (M.D)
NPI
1558523076
Phone
(207) 865-6131
Address
50 Marquis Rd
Enumeration Date
26 June 2008
Last Update Date
4 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
2078859905
Graduation Year
2008 (18 years ago)
PAC ID
0345410288
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20180808002864
Address ID
ME041023134PO22XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:17State licenses:3Digital endpointsOther names

918 INTERNAL MEDICINE in ME

Provider Addresses for KATHERINE J MOORE (M.D)

  • 50 Marquis Rd

    Freeport, ME 04032

    Phone: (207) 865-6131

    Fax: (207) 865-9399

    Type: Location

  • 10977 Granada Ln

    SUITE 105

    Leawood, KS 662111468

    Phone: (913) 215-5008

    Fax: (816) 447-3960

    Type: Location

  • 116 US ROUTE 1

    FALMOUTH, ME 041052140

    Phone: (401) 316-3993

    Type: Mailing

  • 50, Marquis Road, Freeport, Cumberland County, Maine, 04032, United States

    FREEPORT, ME 040326477

    Phone: (207) 865-6131

    Fax: (207) 865-9399

    Type: Mailing

  • 8 PIKES HL

    NORWAY, ME 042685340

    Phone: (207) 774-6444

    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: 2018-08-08

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
I20180808002864IInternal 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.

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

Insurance plans in this area (ZIP 04032)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

Can I cross-check KATHERINE J MOORE (M.D) using NPI 1558523076?
NPI 1558523076 belongs to KATHERINE J MOORE (M.D); compare other details if you need extra assurance.
Is there an active status for KATHERINE J MOORE (M.D)?
For scheduling context, KATHERINE J MOORE (M.D) is shown as active in the registry.
How would a patient describe KATHERINE J MOORE (M.D)'s focus?
For KATHERINE J MOORE (M.D), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KATHERINE J MOORE (M.D)?
Travel planning: use Freeport, Maine as the reference point for KATHERINE J MOORE (M.D), then confirm.
Can I trust this NPI listing for KATHERINE J MOORE (M.D)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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