HAROLD III MOORES (M.D.) – Emergency Medicine Physician, NPI 1013975085

HAROLD III MOORES (M.D.) is a healthcare provider. based in Cadillac, Michigan. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 4301057697 (MI). The NPI Number for HAROLD III MOORES (M.D.) is 1013975085

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
HAROLD III MOORES (M.D.)
NPI
1013975085
Phone
(231) 775-6076
Address
PO BOX 271
Enumeration Date
1 May 2006
Last Update Date
29 May 2012

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
9892916237
Graduation Year
1991 (35 years ago)
PAC ID
4082517610
Group Practice PAC ID
1658275342
Professional Enrollment ID
I20050216000290
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for HAROLD III MOORES (M.D.)

  • PO BOX 271

    CADILLAC, MI 496010271

    Phone: (231) 775-6076

    Fax: (231) 775-0027

    Type: Mailing

  • Cadillac After Hours Clinic, 440, Cobb Street, Cadillac, Wexford County, Michigan, 49601, United States

    CADILLAC, MI 496012542

    Phone: (231) 775-6076

    Fax: (231) 775-0027

    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: 2005-02-16

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
I20050216000290IEmergency MedicineMITBD

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 49601)

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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: 1658275342View full group profile
NameSpecialtyState
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Physician AssistantMI
-IL
Emergency MedicineMI
Orthopedic SurgeryMI
Emergency Medicine, Family PracticeMI

Reviews

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Frequently asked questions

What is the registry number for HAROLD III MOORES (M.D.)?
The registry entry for HAROLD III MOORES (M.D.) shows NPI 1013975085.
Quick check: is HAROLD III MOORES (M.D.) active?
Public NPPES data shows HAROLD III MOORES (M.D.) with an active NPI status right now.
How should patients interpret HAROLD III MOORES (M.D.)'s specialty?
The extract shows Emergency Medicine Physician for HAROLD III MOORES (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to HAROLD III MOORES (M.D.)?
HAROLD III MOORES (M.D.) is associated with Cadillac, Michigan in the same public data insurers reference.
Who maintains HAROLD III MOORES (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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