DR. JOHN DAVID MOORE (MD) – Anesthesiology Physician, NPI 1396731774
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,228 ANESTHESIOLOGY in MO
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Provider Addresses for DR. JOHN DAVID MOORE (MD)
East Fifth Street Extension, Creswell, Washington County, North Carolina, 27928, United States
SUITE 144
WASHINGTON, MO 63090
Phone: (636) 239-8097
Fax: (636) 390-7308
Type: Mailing
3015 N BALLAS RD
DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 631312329
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Location
660 S EUCLID AVE
CB 8054
SAINT LOUIS, MO 631101010
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Mailing
2 PROGRESS POINT PKWY
DEPT ANESTHESIOLOGY
O FALLON, MO 633682205
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Mailing
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 $270.
Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.
Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($148).
Total Amount
$270
General + Research + Ownership
Payments
3
Total payment records
General Amount
$270
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $148 |
| EAGLE PHARMACEUTICALS, INC. | $102 |
| Medtronic, Inc. | $20 |
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: 2007-06-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040813000883 | I | Anesthesiology | MO | TBD |
| I20070619000399 | I | Anesthesiology | IL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 171 | 126 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 31 | 31 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 26 | 26 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 24 | 24 | $0 |
Insurance plans in this area (ZIP 63090)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | MO | 20610 | Aspiration and/or injection of large joint or joint capsule | 14 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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