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TIMOTHY RICHARD MOORE MD
NPI 1124064423
Internal Medicine - Cardiovascular Disease in Boise, ID

Active since June 22, 2006PECOS Enrolled
500 W. FORT ST., #111, BOISE, ID 83702(208) 422-1000(208) 422-1319 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Richard Moore Md NPPES

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

TIMOTHY RICHARD MOORE MD (NPI 1124064423) is an individual cardiovascular disease provider in Boise, Idaho, licensed in Idaho (M-12911) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124064423
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameTIMOTHY RICHARD MOORECredential: MD
Location Address500 W. FORT ST., #111Boise, ID 83702
Mailing Address500 W Fort St # 111Boise, ID 83702-4501 · (208) 422-1000 · Fax (208) 422-1319
Phone(208) 422-1000
Fax(208) 422-1319
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateFebruary 15, 2022
NPPES CertifiedFebruary 15, 2022
✔ NPI 1124064423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in ID · M-12911✔ Licensed in TX · M0189
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License M-12911 (ID)
500 W. FORT ST., Boise, ID 83702
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Richard 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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.

MRS. APRIL MICHELLE THORNDYKE LCSW
Community/Behavioral Health
500 W. FORT ST.
BOISE, ID 83702
Ada County (208) 422-1000
DR. JANAT E. O'DONNELL MD
Internal Medicine (Pulmonary Disease)
500 W. FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1325
MS. SUE MARIE HICKS LCSW, CADC III
Counselor (Addiction (Substance Use Disorder))
500 W. FORT ST., BOISE VAMC
BOISE, ID 83702
Ada County (208) 422-1360
DR. ERIC S JACOBSEN M.D.
Family Medicine
500 W. FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1000
DANIELLE BURKE PA-C
Physician Assistant (Medical)
500 W. FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1000
SCOTT SMITH MD
Internal Medicine
500 W. FORT ST., VA MEDICAL CENTER
BOISE, ID 83702
Ada County (208) 422-1325
BEATRIZ C.S. SPENCER PA-C
Physician Assistant (Medical)
500 W. FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1000
KIMBERLEY R REUTER NP
Nurse Practitioner (Family)
500 W. FORT ST., HBPC
BOISE, ID 83702
Ada County (208) 422-1000

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 Timothy Moore's NPI number?

The NPI number for Timothy Moore is 1124064423. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Timothy Moore located?

Timothy Moore practices at 500 W. Fort St. #111, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Timothy Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Timothy Moore enrolled in Medicare?

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

What insurance does Timothy Moore accept?

Health plans from Moda Health Plan, Inc. list Timothy 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 Timothy Moore was last updated on February 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.