CRAIG BEATY MOORE (MD) – Family Medicine Physician, NPI 1467411645

CRAIG BEATY MOORE (MD) is a healthcare provider. based in Hobart, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 11960 (OK). The NPI Number for CRAIG BEATY MOORE (MD) is 1467411645

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG BEATY MOORE (MD)
NPI
1467411645
Phone
(580) 726-5653
Address
125 NORTH BROADWAY
Enumeration Date
17 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4054955841
Graduation Year
1976 (50 years ago)
PAC ID
6406908425
Group Practice PAC ID
0244122083
Professional Enrollment ID
I20090722000095
Address ID
OK731222503OK4510XSTXX400
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

1,775 FAMILY PRACTICE in OK

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Provider Addresses for CRAIG BEATY MOORE (MD)

  • 125, North Broadway Avenue, Hobart, Kiowa County, Oklahoma, 73651, United States

    HOBART, OK 73651

    Phone: (580) 726-5653

    Fax: (580) 726-3661

    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: 2009-07-22

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
I20090722000095IFamily PracticeOKTBD

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
87804Detection test by immunoassay with direct visual observation for influenza virus14069$0
99214Established patient office or other outpatient visit, 30-39 minutes9994$0
99204New patient office or other outpatient visit, 45-59 minutes9595$0
96372Injection of drug or substance under skin or into muscle6462$0
J1040Injection, methylprednisolone acetate, 80 mg4848$0
View full utilization report →

Insurance plans in this area (ZIP 73651)

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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: 0244122083View full group profile

Reviews

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Frequently asked questions

Where can patients find CRAIG BEATY MOORE (MD)'s NPI?
You can confirm CRAIG BEATY MOORE (MD) with NPI 1467411645; it appears in the national provider directory.
Is CRAIG BEATY MOORE (MD) currently active in the NPI registry?
CMS-published data lists CRAIG BEATY MOORE (MD) as an active registrant.
What kind of provider is CRAIG BEATY MOORE (MD)?
The page reflects Family Medicine Physician for CRAIG BEATY MOORE (MD). Clinical services aligned with this taxonomy classification.
Does CRAIG BEATY MOORE (MD) practice in Oklahoma?
You will see Hobart, Oklahoma on file for CRAIG BEATY MOORE (MD) alongside any extra practice locations.
How can I contact CRAIG BEATY MOORE (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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