DR. TIMOTHY RICHARD MOORE PH.D., LP, BCBA-D
NPI 1194094045
Psychologist in Minneapolis, MN
About Dr. Timothy Richard Moore Ph.d., Lp, Bcba-d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY RICHARD MOORE PH.D., LP, BCBA-D (NPI 1194094045) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (5453) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Timothy Richard Moore Ph.d., Lp, Bcba-d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Timothy Moore reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 1194094045. It was assigned to this individual provider in the NPPES registry on December 22, 2011.
Where is Timothy Moore located?
Timothy Moore practices at 3333 University Ave SE, Minneapolis, MN 55414. The listed phone number is (612) 331-9413.
What is Timothy Moore's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Timothy Moore enrolled in Medicare?
Yes. Timothy Moore is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Timothy Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Moore reassigns Medicare benefits to 5 organizations: Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN), Fairview Health Services (Minneapolis, MN) and Fairview Specialty Services (Minneapolis, MN). Each 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 Timothy Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Moore accept?
Health plans from Sanford Health Plan 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 July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.