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MR. DAVID RAYBURN MOORE M.D.
NPI 1215969837
Internal Medicine - Gastroenterology in Bountiful, UT

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
620 EAST MEDICAL DRIVE #205, BOUNTIFUL, UT 84010(801) 298-0057(801) 298-9765 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. David Rayburn Moore M.d. NPPES

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

MR. DAVID RAYBURN MOORE M.D. (NPI 1215969837) is an individual gastroenterology provider in Bountiful, Utah, licensed in Utah (7549046-1205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2003).

NPPES Registry Identity

NPI1215969837
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMR. DAVID RAYBURN MOORECredential: M.D.
Location Address620 EAST MEDICAL DRIVE #205Bountiful, UT 84010
Mailing Address6360 S 3000 E, #220Salt Lake City, UT 84121-6923
Phone(801) 298-0057
Fax(801) 298-9765
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2003
Enumeration DateJuly 6, 2006
Last NPPES UpdateJune 9, 2015
✔ NPI 1215969837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in UT · 7549046-1205
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedHospitalistTaxonomy 208M00000X · License 44368 (CO)
620 EAST MEDICAL DRIVE #205, Bountiful, UT 84010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Mr. David Rayburn 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 ID8729091178
PECOS Enrollment IDI20101006000905
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
116 services115 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
71 services68 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
57 services57 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
53 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460042
Location630 East Medical DriveBountiful, UT 84010 · Davis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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.

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 David Moore's NPI number?

The NPI number for David Moore is 1215969837. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is David Moore located?

David Moore practices at 620 East Medical Drive #205, Bountiful, UT 84010. The listed phone number is (801) 298-0057.

What is David Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is David Moore enrolled in Medicare?

Yes. David 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 David Moore accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list David 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 David Moore affiliated with any hospitals?

According to CMS data, David Moore is affiliated with Intermountain Medical Center and Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for David Moore was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.