Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CODY MOORE
NPI 1154023851
Internal Medicine in Kansas City, MO

Q: What is Cody Moore's NPI number?

The NPI number for Cody Moore is 1154023851. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Cody Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Cody Moore was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.

Active since March 20, 2023PECOS Enrolled

6675 HOLMES RD STE 550, KANSAS CITY, MO 64131(816) 363-7710 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Mar 20, 2023 (2 updates tracked since 2023).

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About Cody Moore NPPES

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

CODY MOORE (NPI 1154023851) is an individual internal medicine provider in Kansas City, Missouri, licensed in Missouri (2026029564) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Overland Park.

NPPES Registry Identity

NPI1154023851

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCODY MOORE

Location Address6675 HOLMES RD STE 550Kansas City, MO 64131-1167

Mailing Address6314 W 54th TerMission, KS 66202-1650 · (573) 275-0426

Phone(816) 363-7710

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1154023851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MO · 2026029564✔ Licensed in KS · 05-53628

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

6675 HOLMES RD STE 550, Kansas City, MO 64131

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Secondary Practice Location 1

Location 15701 W 119th St Ste 115Overland Park, KS 66209-3721 · Phone (816) 363-7710

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody Moore 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 64131 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

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Cody Moore's NPI number?

The NPI number for Cody Moore is 1154023851. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Cody Moore located?

Cody Moore practices at 6675 Holmes Rd Ste 550, Kansas City, MO 64131. The listed phone number is (816) 363-7710.

What is Cody Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cody Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cody Moore was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.