JOHN MATTHEW MOORE (M.D.) – Gastroenterology Physician, NPI 1205009180
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
401 GASTROENTEROLOGY in TN
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Provider Addresses for JOHN MATTHEW MOORE (M.D.)
1311, Dowell Springs Boulevard, Amherst, Knoxville, Knox County, Tennessee, 37909, United States
SUITE 300
KNOXVILLE, TN 379092454
Phone: (865) 588-5121
Type: Location
Hampton Inn & Suites Knoxville Papermill Drive, 601, Old Weisgarber Road, Bearden, Knoxville, Knox County, Tennessee, 37917, United States
SUITE 100
KNOXVILLE, TN 379092706
Phone: (865) 588-5121
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 102 Open Payments records for all available years, with a total value of $1,855.
Total Amount is formed as General ($1,855) + Research ($0) + Ownership ($0) = $1,855.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($801).
Total Amount
$1,855
General + Research + Ownership
Payments
102
Total payment records
General Amount
$1,855
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-07-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140731002708 | I | Gastroenterology | TN | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 179 | 179 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 165 | 128 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 119 | 115 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 115 | 115 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 57 | 57 | $0 |
Insurance plans in this area (ZIP 37909)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| - | TN | |
| P A T H O L O G Y | TN | |
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| G A S T R O E N T E R O L O G Y | TX | |
| Nurse Practitioner | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| G A S T R O E N T E R O L O G Y | TN |
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