DR. TRUDY J MOORE MD
NPI 1023099488
Radiology - Diagnostic Radiology in Eden Prairie, MN

Active since November 10, 2005PECOS Enrolled
92.56/100
CMS Quality Rating
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344(952) 595-1301(612) 294-4903 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2021, Feb 5, 2019 (2 updates tracked since 2019).

About Dr. Trudy J Moore Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRUDY J MOORE MD (NPI 1023099488) is an individual diagnostic radiology provider in Eden Prairie, Minnesota, licensed in Oklahoma (16333) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023099488
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. TRUDY J MOORECredential: MD
Location Address11995 SINGLETREE LN STE 500Eden Prairie, MN 55344-5349
Mailing Address11995 Singletree Ln Ste 500Eden Prairie, MN 55344-5349 · (952) 595-1301 · Fax (612) 294-4903
Fax(612) 294-4903
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1023099488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in OK · 16333✔ Licensed in AR · C-5845
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
11995 SINGLETREE LN STE 500, Eden Prairie, MN 55344

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Trudy J Moore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Trudy Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
54 HOSPITAL DR
Osage Beach, MO 65065
  • Reassigned Medicare billing, Arkansas and Oklahoma enrollments
  • 2 clinicians in this Medicare group
Clinic/Center
SUNRISE LODGE
Edna Bay, AK 99901
  • Reassigned Medicare billing, Texas enrollment
  • 640 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.25
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Neuroimaging)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trudy Moore's NPI number?

The NPI number for Trudy Moore is 1023099488. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Trudy Moore located?

Trudy Moore practices at 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344. The listed phone number is (952) 595-1301.

What is Trudy Moore's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Trudy Moore enrolled in Medicare?

Yes. Trudy Moore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Trudy Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trudy Moore reassigns Medicare benefits to 2 organizations: Fred Smeltzer MD & Associates Inc (Osage Beach, MO) and Southeast Alaska Regional Health Consortium (Edna Bay, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Trudy Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Trudy Moore was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.