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CODY MOORE
NPI 1154023851
Internal Medicine in Kansas City, MO

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: October 25, 2026.

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

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, maintains a secondary practice location in Overland Park, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2023).

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
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2023
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274993019
PECOS Enrollment IDI20260817000837
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.

Medicare Billing Reassignment

Medicare enrollment records show Cody Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Group Of Kansas City, LLC
Same address
Internal Medicine
6675 HOLMES RD, SUITE 550
Kansas City, MO 64131
  • Reassigned Medicare billing, Missouri enrollment
  • 14 clinicians in this Medicare group
NPI 1407803273 (816) 363-7710

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Cody Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Moore reassigns Medicare benefits to Medical Group Of Kansas City, LLC (Kansas City, 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 Cody Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cody Moore accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Cody 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 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 2 months 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.