GRADIE ELIZABETH MOORE (M.D.) – Obstetrics & Gynecology Physician, NPI 1679749741

GRADIE ELIZABETH MOORE (M.D.) is a healthcare provider. based in Wichita falls, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. P2147 (TX). The NPI Number for GRADIE ELIZABETH MOORE (M.D.) is 1679749741

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
GRADIE ELIZABETH MOORE (M.D.)
NPI
1679749741
Phone
(940) 723-8151
Address
1601 9TH ST
Enumeration Date
7 May 2008
Last Update Date
15 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9407238151
Graduation Year
2012 (14 years ago)
PAC ID
5890950984
Group Practice PAC ID
7315942109
Professional Enrollment ID
I20120621000661
Address ID
TX763101128WI6XXXXBURN200
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for GRADIE ELIZABETH MOORE (M.D.)

  • 1601, 9th Street, Wichita Falls, Wichita County, Texas, 76301, United States

    WICHITA FALLS, TX 763014304

    Phone: (940) 723-8151

    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)

CMS reports 20 Open Payments records for all available years, with a total value of $525.

Total Amount is formed as General ($525) + Research ($0) + Ownership ($0) = $525.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Astellas Pharma US Inc ($164).

Total Amount

$525

General + Research + Ownership

Payments

20

Total payment records

General Amount

$525

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-06-21

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
I20120621000661IObstetrics/GynecologyTXTBD

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
77063Screening 3d breast mammography228228$0
77067Screening mammography228228$0
99214Established patient office or other outpatient visit, 30-39 minutes7574$0
77085Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment5656$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3232$0
View full utilization report →

Insurance plans in this area (ZIP 76301)

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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: 7315942109View full group profile
NameSpecialtyState
Obstetrics/Gynecology, Osteopathic Manipulative MedicineTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

How do I look up GRADIE ELIZABETH MOORE (M.D.) by NPI?
Use NPI 1679749741 when you need to reference GRADIE ELIZABETH MOORE (M.D.) in forms, claims, or directories.
Is GRADIE ELIZABETH MOORE (M.D.)'s NPI currently valid?
The extract we use shows GRADIE ELIZABETH MOORE (M.D.) as active.
What field does GRADIE ELIZABETH MOORE (M.D.) work in?
You can think of GRADIE ELIZABETH MOORE (M.D.) as practicing within Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place GRADIE ELIZABETH MOORE (M.D.)?
The snapshot lists Wichita Falls, Texas for GRADIE ELIZABETH MOORE (M.D.); download NPPES for the complete set.
What if Wichita Falls, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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