DR. JOHN RUSSELL MOORE M.D.
NPI 1114977550
Urology in Independence, MO
About Dr. John Russell Moore M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN RUSSELL MOORE M.D. (NPI 1114977550) is an individual urology provider in Independence, Missouri, licensed in Missouri (2001004851) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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. John Russell 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 Reassignment
Medicare enrollment records show John Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Independence, MO 64055
- Reassigned Medicare billing, Kansas and Missouri enrollments
- 15 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 14
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Luke's South Hospital
Acute Care Hospitals · Overland Park, KSAnderson County Hospital
Critical Access Hospitals · Garnett, KSWestern Missouri Medical Center
Acute Care Hospitals · Warrensburg, MOSt Lukes Hospital Of Kansas City
Acute Care Hospitals · Kansas City, MOSaint Luke's East Hospital
Acute Care Hospitals · Lees Summit, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
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 John Moore's NPI number?
The NPI number for John Moore is 1114977550. It was assigned to this individual provider in the NPPES registry on May 10, 2006.
Where is John Moore located?
John Moore practices at 19001 E 48th St S, Independence, MO 64055. The listed phone number is (816) 836-8831.
What is John Moore's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is John Moore enrolled in Medicare?
Yes. John 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 organization bills Medicare for John Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Moore reassigns Medicare benefits to Advanced Urologic Associates, Inc (Independence, MO). The 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 John Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Moore accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list John 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.
Is John Moore affiliated with any hospitals?
According to CMS data, John Moore is affiliated with Saint Luke's South Hospital, Anderson County Hospital, Western Missouri Medical Center, St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.
When was this NPI record last updated?
The NPPES record for John Moore was last updated on September 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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. John Russell Moore, M.D. · NPI 1114977550
Urology physician in Independence, Missouri. Individual provider, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1114977550 (Entity type: Individual)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 2001004851 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 19001 E 48TH ST S, Independence, MO 64055
- **Phone:** (816) 836-8831 · **Fax:** (816) 795-0144
## 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:** Advanced Urologic Associates, Inc (NPI 1801389267, Independence, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** September 21, 2014
- **Other identifiers:** Medicaid 204467005 (MO); Medicare PIN MA4068004 (MO); Medicare UPIN H35565 (MO); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1114977550) · Data from the CMS NPPES public registry.