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DR. SUE D MOORE M.D.
NPI 1164459772
Obstetrics & Gynecology - Maternal & Fetal Medicine in Saint Louis, MO

Active since June 27, 2006PECOS Enrolled
621 S NEW BALLAS RD, SUITE 2009B, SAINT LOUIS, MO 63141(314) 251-6880(314) 251-6919 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Sue D Moore M.d. NPPES

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

DR. SUE D MOORE M.D. (NPI 1164459772) is an individual maternal & fetal medicine provider in Saint Louis, Missouri, licensed in Missouri (113681) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164459772
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameDR. SUE D MOORECredential: M.D.
Location Address621 S NEW BALLAS RD, SUITE 2009BSaint Louis, MO 63141-8232
Mailing Address12639 Old Tesson Rd, Suite 115Saint Louis, MO 63128-2786 · (314) 849-0311 · Fax (314) 849-4423
Phone(314) 251-6880
Fax(314) 251-6919
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164459772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in MO · 113681
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
621 S NEW BALLAS RD, Saint Louis, MO 63141
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Other Identifiers 7

Other113282MO · Blue Cross Blue Shield
Other6715780MO · Cigna
Medicare UPINF35466
Other272132MO · Group Healthplan
Other338322MO · Healthlink
Other4454848MO · Aetna
Other7400110MO · United Healthcare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sue D Moore M.d. 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 63141 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

STEPHANIE LYNN SHOREY WHNP-BC
Nurse Practitioner (Women's Health)
621 S NEW BALLAS RD, SUITE 2007B
SAINT LOUIS, MO 63141
St. Louis County (314) 991-5000
DR. KATHRYN BOTNEY M.D.
Obstetrics & Gynecology
621 S NEW BALLAS RD, SUITE 4005
SAINT LOUIS, MO 63141
St. Louis County (314) 567-5016
HUILIN LI M.D.
Internal Medicine
621 S NEW BALLAS RD, SUITE 3016B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
LUIS A GIUFFRA LLC
Psychiatry & Neurology (Psychiatry)
621 S NEW BALLAS RD, SUITE 398A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-7720
JOSEPH G HERRMANN MD LLC
Specialist
621 S NEW BALLAS RD, SUITE 419A
SAINT LOUIS, MO 63141
St. Louis County (314) 432-0056
KAREN KILO RN, CDE, RD
Nutritionist (Nutrition, Education)
621 S NEW BALLAS RD, SUITE 460A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-4330
KATINA M CANDEE PA-C
Physician Assistant
621 S NEW BALLAS RD, SUITE 483A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-2095
DR. PETER KONG-WOO YOON M.D.
Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6364

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 Sue Moore's NPI number?

The NPI number for Sue Moore is 1164459772. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Sue Moore located?

Sue Moore practices at 621 S New Ballas Rd Suite 2009B, Saint Louis, MO 63141. The listed phone number is (314) 251-6880.

What is Sue Moore's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Sue Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sue Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.