DR. LUKE TAE JONG MOORE M.D.
NPI 1023452182
Ophthalmology in Duluth, MN
About Dr. Luke Tae Jong Moore M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LUKE TAE JONG MOORE M.D. (NPI 1023452182) is an individual ophthalmology provider in Duluth, Minnesota, licensed in Minnesota (63520) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Norfolk, and is a graduate of Drexel University College Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Luke Tae Jong Moore M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Luke Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blaine, MN 55449
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
Las Vegas, NV 89121
- Reassigned Medicare billing, Nevada enrollment
- 44 clinicians in this Medicare group
Tamuning, GU 96913
- Reassigned Medicare billing, Guam enrollment
- 5 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Luke Moore's NPI number?
The NPI number for Luke Moore is 1023452182. It was assigned to this individual provider in the NPPES registry on April 19, 2013.
Where is Luke Moore located?
Luke Moore practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.
What is Luke Moore's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Luke Moore enrolled in Medicare?
Yes. Luke Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Luke Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luke Moore reassigns Medicare benefits to 3 organizations: Group Health, Inc. (Blaine, MN), Shepherd Eye Center, Ltd (Las Vegas, NV) and Island Eye Center (Tamuning, GU). 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 Luke Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Luke Moore accept?
Health plans from Molina Healthcare list Luke Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Luke Moore was last updated on January 15, 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.
# Dr. Luke Tae Jong Moore, M.D. · NPI 1023452182
Ophthalmology physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since April 19, 2013.
## Identity
- **NPI:** 1023452182 (Entity type: Individual)
- **Enumerated:** April 19, 2013
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 63520 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 E 3RD ST, Duluth, MN 55805-1951
- **Phone:** (218) 786-8364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Group Health, Inc. (NPI 1699829697, Blaine, MN); Shepherd Eye Center, Ltd (NPI 1487604054, Las Vegas, NV); Island Eye Center (NPI 1487772000, Tamuning, GU) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 2013
## Record status
- **NPPES last updated:** January 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1023452182) · Data from the CMS NPPES public registry.