DR. TIMOTHY TYLER MOORE (D.C.) – Chiropractor, NPI 1316021231

Chiropractor

DR. TIMOTHY TYLER MOORE (D.C.) is a healthcare provider. based in Mentor, Ohio. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 3382 (OH). The NPI Number for DR. TIMOTHY TYLER MOORE (D.C.) is 1316021231

Main info

Male

24 Years Of Experience

Accepts Medicare Assignment

Name

DR. TIMOTHY TYLER MOORE (D.C.)

NPI

1316021231

Phone

(440) 953-3950

Address

7547 MENTOR AVE

Enumeration Date

25 October 2006

Last Update Date

28 May 2024

Doctor Profile

Medical School Name

NATIONAL COLLEGE OF CHIROPRACTIC

Secondary Phone

4409533950

Graduation Year

2002 (24 years ago)

PAC ID

9830365030

Group Practice PAC ID

8224204425

Professional Enrollment ID

I20120111000981

Address ID

OH440948095WI39000AVEX300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness75

Years active:19State licenses:1Digital endpointsOther names

1,413 CHIROPRACTIC in OH

Provider Addresses for DR. TIMOTHY TYLER MOORE (D.C.)

7547, Mentor Avenue, Reynolds, Mentor, Lake County, Ohio, 44060, United States
MENTOR, OH 440605438
Phone: (440) 953-3950
Fax: (440) 953-3953
Type: Mailing
39000 MENTOR AVE
WILLOUGHBY, OH 440948095
Phone: (440) 953-3950
Fax: (440) 953-3953
Type: Mailing

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: 2012-01-11

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

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
I20120111000981	I	Chiropractic	OH	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.

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 44060)

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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: 8224204425View full group profile

Name	Specialty	State
AUGUSTUS NECASTRO (DC)	C H I R O P R A C T I C	OH
DR. BI THANH NGUYEN (CHIROPRACTOR)	C H I R O P R A C T I C	OH
DR. DAVID COPP (DC)	C H I R O P R A C T I C	OH
DR. JUSTIN CARL WIRICK (D.C.)	C H I R O P R A C T I C	OH
JENNIFER L ROSS (D.C.)	-	OH
DR. MATTHEW JOHN STASEK (D.C.)	C H I R O P R A C T I C	OH
DR. JESSICA LEE DILLEY (D.C.)	C H I R O P R A C T I C	OH