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DR. EVAN CORLEE MOORE M.D.
NPI 1205053063
Emergency Medicine in Salt Lake City, UT

Active since April 20, 2007PECOS EnrolledAccepts Medicare Assignment
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107(801) 910-3595 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Evan Corlee Moore M.d. NPPES

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

DR. EVAN CORLEE MOORE M.D. (NPI 1205053063) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Utah (7372509-1205) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of University Of Utah School Of Medicine (2005).

NPPES Registry Identity

NPI1205053063
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. EVAN CORLEE MOORECredential: M.D.
Location Address5121 S COTTONWOOD STSalt Lake City, UT 84107-5701
Mailing Address5121 S Cottonwood StSalt Lake City, UT 84107-5701
Phone(801) 910-3595
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2005
Enumeration DateApril 20, 2007
Last NPPES UpdateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
✔ NPI 1205053063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in UT · 7372509-1205
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5121 S COTTONWOOD ST, Salt Lake City, UT 84107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Dr. Evan Corlee Moore M.d. 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 ID8628123700
PECOS Enrollment IDI20090826000651
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

ANASTASIYA MANKOUSKI MD
Pediatrics (Neonatal-Perinatal Medicine)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-7000
TARYN A. YOUNG MD
Hospitalist
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-4384
NATHANIEL ALAN KELLER DPT
Physical Therapist
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (805) 798-2901
JENNIFER LAWLEY RN
Student in an Organized Health Care Education/Training Program
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-7000
DR. JARED DAVID MILLER MD
Internal Medicine (Clinical Cardiac Electrophysiology)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-3500
JONATHAN MIDDLEMISS PA-C
Physician Assistant
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-3460
RICHA PARAG SHETH MD
Internal Medicine
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-7000
ANDREW SCOTT BIESINGER NP
Nurse Practitioner
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-3462

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 Evan Moore's NPI number?

The NPI number for Evan Moore is 1205053063. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Evan Moore located?

Evan Moore practices at 5121 S Cottonwood St, Salt Lake City, UT 84107. The listed phone number is (801) 910-3595.

What is Evan Moore's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Evan Moore enrolled in Medicare?

Yes. Evan 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 Evan Moore accept?

Health plans from Select Health list Evan 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.

Is Evan Moore affiliated with any hospitals?

According to CMS data, Evan Moore is affiliated with Mckay-Dee Hospital.

When was this NPI record last updated?

The NPPES record for Evan Moore was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.