TANNER MILES MOORE DPM
NPI 1144673237
Podiatrist - Foot & Ankle Surgery in Wickenburg, AZ

Active since July 13, 2016PECOS EnrolledAccepts Medicare Assignment
519 ROSE LN, WICKENBURG, AZ 85390(602) 675-0478(602) 675-0479 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2021, Feb 17, 2020, Jul 13, 2016 (3 updates tracked since 2016).

About Tanner Miles Moore Dpm NPPES

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

TANNER MILES MOORE DPM (NPI 1144673237) is an individual foot & ankle surgery provider in Wickenburg, Arizona, licensed in Arizona (POD-000936) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wickenburg, and is a graduate of California School Of Podiatric Medicine (2016).

NPPES Registry Identity

NPI1144673237
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameTANNER MILES MOORECredential: DPM
Location Address519 ROSE LNWickenburg, AZ 85390-1448
Mailing Address523 Rose LnWickenburg, AZ 85390-1448 · (760) 613-4402
Fax(602) 675-0479
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2016
Enumeration DateJuly 13, 2016
Last NPPES UpdateJuly 8, 20213 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
NPI 1144673237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in AZ · POD-000936
519 ROSE LN, Wickenburg, AZ 85390

Secondary Practice Location 1

Location 1520 Rose LnWickenburg, AZ 85390-1447 · Phone (760) 613-4402

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tanner Miles Moore Dpm 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.

PECOS PAC ID6204163777
PECOS Enrollment IDI20190806002569
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.

Areas of Expertise CMS Part B claims 27

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.

Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
2,056 services369 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,102 services373 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
1,030 services370 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
1,028 services369 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
946 services378 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
772 services270 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers16 claims16 services$251.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Cardiovascular Disease)
519 ROSE LN
WICKENBURG, AZ 85390
Psychologist (Clinical)
519 ROSE LN
WICKENBURG, AZ 85390
Podiatrist
519 ROSE LN
WICKENBURG, AZ 85390
Internal Medicine
519 ROSE LN
WICKENBURG, AZ 85390
Nurse Practitioner (Family)
519 ROSE LN
WICKENBURG, AZ 85390
Pediatrics
519 ROSE LN
WICKENBURG, AZ 85390

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 Tanner Moore's NPI number?

The NPI number for Tanner Moore is 1144673237. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Where is Tanner Moore located?

Tanner Moore practices at 519 Rose Ln, Wickenburg, AZ 85390. The listed phone number is (602) 675-0478.

What is Tanner Moore's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Tanner Moore enrolled in Medicare?

Yes. Tanner 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.

What insurance does Tanner Moore accept?

Health plans from Imperial Insurance Companies, Inc. and UnitedHealthcare list Tanner 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 Tanner Moore was last updated on July 8, 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.