Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MOATAZ M GADDOR MD
NPI 1255694600
Internal Medicine - Critical Care Medicine in Chesterfield, MO

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
222 S WOODS MILL RD, CHESTERFIELD, MO 63017(314) 205-6050(314) 434-5939 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Sep 22, 2020 (2 updates tracked since 2020).

About Dr. Moataz M Gaddor Md NPPES

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

DR. MOATAZ M GADDOR MD (NPI 1255694600) is an individual critical care medicine provider in Chesterfield, Missouri, licensed in Illinois (036153985) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255694600
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. MOATAZ M GADDORCredential: MD
Location Address222 S WOODS MILL RDChesterfield, MO 63017-3625
Mailing Address222 S Woods Mill RdChesterfield, MO 63017-3625 · (314) 205-6050 · Fax (314) 434-5939
Fax(314) 434-5939
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 20, 2012
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1255694600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in IL · 036153985
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2012017419 (MO), 036153985 (IL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036153985 (IL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 036153985 (IL)
222 S WOODS MILL RD, Chesterfield, MO 63017

Secondary Practice Locations 2

Location 12400 N Rockton AveRockford, IL 61103-3655 · Phone (815) 971-5000
Location 28201 E Riverside BlvdRockford, IL 61114-2300 · Phone (815) 971-7000

Other Identifiers 1

Medicaid1255694600WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Moataz M Gaddor Md 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 ID9537307277
PECOS Enrollment IDI20250725002792
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 Reassignments

6

Medicare enrollment records show Moataz Gaddor reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
1 SAINT ELIZABETH BLVD
O Fallon, IL 62269
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
Foot & Ankle Surgery
1500 DODSON AVE STE 260
Fort Smith, AR 72901
  • Reassigned Medicare billing, Arkansas enrollment
  • 193 clinicians in this Medicare group
Emergency Medical Services
2720 STONE PARK BLVD
Sioux City, IA 51104
  • Reassigned Medicare billing, Iowa enrollment
  • 281 clinicians in this Medicare group
Multi-Specialty
1233 E 2ND ST
Casper, WY 82601
  • Reassigned Medicare billing, Wyoming enrollment
  • 54 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.

Areas of Expertise CMS Part B claims 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
125 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
101 services62 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Clinical Nurse Specialist (Adult Health)
222 S WOODS MILL RD, SUITE 480 N
CHESTERFIELD, MO 63017
Internal Medicine (Endocrinology, Diabetes & Metabolism)
222 S WOODS MILL RD, SUITE 410N
CHESTERFIELD, MO 63017
Internal Medicine
222 S WOODS MILL RD, SUITE 350N
CHESTERFIELD, MO 63017
Nurse Practitioner (Adult Health)
222 S WOODS MILL RD, SUITE 410N
CHESTERFIELD, MO 63017
Internal Medicine (Pulmonary Disease)
222 S WOODS MILL RD, SUITE 310 NORTH
CHESTERFIELD, MO 63017
Ophthalmology
222 S WOODS MILL RD, SUITE 660N
CHESTERFIELD, MO 63017
Internal Medicine (Geriatric Medicine)
222 S WOODS MILL RD
CHESTERFIELD, MO 63017
Internal Medicine (Gastroenterology)
222 S WOODS MILL RD, SUITE 750
CHESTERFIELD, MO 63017

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 Moataz Gaddor's NPI number?

The NPI number for Moataz Gaddor is 1255694600. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Moataz Gaddor located?

Moataz Gaddor practices at 222 S Woods Mill Rd, Chesterfield, MO 63017. The listed phone number is (314) 205-6050.

What is Moataz Gaddor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Moataz Gaddor enrolled in Medicare?

Yes. Moataz Gaddor 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.

Which organizations bill Medicare for Moataz Gaddor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Moataz Gaddor reassigns Medicare benefits to 6 organizations: Cep America Illinois Intensivists (O Fallon, IL), Central Dupage Physician Group (Carol Stream, IL), Rockford Health Physicians (Rockford, IL), Baptist Health Services (Fort Smith, AR), Northwest Iowa Hospital Corporation (Sioux City, IA) and 1 more organization, listed in the Medicare section above. 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 Moataz Gaddor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Moataz Gaddor accept?

Health plans from Oscar Health and Oscar Insurance Company list Moataz Gaddor 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 Moataz Gaddor affiliated with any hospitals?

According to CMS data, Moataz Gaddor is affiliated with St Lukes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Moataz Gaddor was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.