MICHAEL R MOORE (MD) – Surgery Physician, NPI 1407828551

MICHAEL R MOORE (MD) is a healthcare provider. based in Liberty lake, Washington. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. MD00027465 (WA). The NPI Number for MICHAEL R MOORE (MD) is 1407828551

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL R MOORE (MD)
NPI
1407828551
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
3 February 2006
Last Update Date
29 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5096242326
Graduation Year
1985 (41 years ago)
PAC ID
8527041482
Group Practice PAC ID
2860305505
Professional Enrollment ID
I20040709000747
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MICHAEL R MOORE (MD)

  • PO BOX 421

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Fax: (509) 227-7070

    Type: Mailing

  • 217 W CATALDO AVE FL 3

    SPOKANE, WA 992012217

    Phone: (509) 747-6194

    Fax: (509) 838-0824

    Type: Location

  • 37th @ Arthur, East 37th Avenue, Comstock, Spokane, Spokane County, Washington, 99203, United States

    SPOKANE, WA 992102242

    Phone: (509) 747-6194

    Fax: (509) 838-0824

    Type: Mailing

  • 217, West Cataldo Avenue, Riverside, Spokane, Spokane County, Washington, 99201, United States

    SPOKANE, WA 992012217

    Phone: (509) 747-6194

    Fax: (509) 838-0824

    Type: Location

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: 2004-07-09

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
I20040709000747IGeneral SurgeryWATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6141$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5940$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2525$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2423$0
99213Established patient office or other outpatient visit, 20-29 minutes2314$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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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: 2860305505View full group profile

Reviews

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Frequently asked questions

How do I look up MICHAEL R MOORE (MD) by NPI?
Use NPI 1407828551 when you need to reference MICHAEL R MOORE (MD) in forms, claims, or directories.
Is MICHAEL R MOORE (MD)'s NPI currently valid?
The extract we use shows MICHAEL R MOORE (MD) as active.
What kind of provider is MICHAEL R MOORE (MD)?
The page reflects Surgery Physician for MICHAEL R MOORE (MD). Clinical services aligned with this taxonomy classification.
Where does public data place MICHAEL R MOORE (MD)?
The snapshot lists Liberty Lake, Washington for MICHAEL R MOORE (MD); download NPPES for the complete set.
How can I contact MICHAEL R MOORE (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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