DR. LLOYD B. MOORE (MD) – Emergency Medicine Physician, NPI 1114968203

DR. LLOYD B. MOORE (MD) is a healthcare provider. based in Stillwater, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 18594 (OK). The NPI Number for DR. LLOYD B. MOORE (MD) is 1114968203

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. LLOYD B. MOORE (MD)
NPI
1114968203
Phone
(405) 742-5454
Address
1323 W 6TH AVE
Enumeration Date
9 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4057176800
Graduation Year
1984 (42 years ago)
PAC ID
3779779988
Group Practice PAC ID
8123209012
Professional Enrollment ID
I20101130001244
Address ID
OK730996381YU1201XPKWY400
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

747 EMERGENCY MEDICINE in OK

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Provider Addresses for DR. LLOYD B. MOORE (MD)

  • Stillwater Medical Center, 1323, West 6th Avenue, Downtown Stillwater, Stillwater, Payne County, Oklahoma, 74074, United States

    STILLWATER, OK 740744306

    Phone: (405) 742-5454

    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)

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: 2010-11-30

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
I20101130001244IEmergency MedicineOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making126121$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6463$0
99284Emergency department visit with moderate level of medical decision making5755$0
99283Emergency department visit with low level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 74074)

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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: 8123209012View full group profile
NameSpecialtyState
-OK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency Medicine, Family PracticeOK
Pediatric MedicineOK
-OK
Emergency MedicineOK
Emergency MedicineTX

Reviews

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Frequently asked questions

What federal number belongs to DR. LLOYD B. MOORE (MD)?
The federal identifier for DR. LLOYD B. MOORE (MD) is NPI 1114968203.
Is DR. LLOYD B. MOORE (MD) active in the national directory?
DR. LLOYD B. MOORE (MD)'s public NPI profile is in an active state.
Does DR. LLOYD B. MOORE (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. LLOYD B. MOORE (MD). Clinical services aligned with this taxonomy classification.
Where is DR. LLOYD B. MOORE (MD)'s primary listing?
We display Stillwater, Oklahoma because that is what the record indicates for DR. LLOYD B. MOORE (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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