DR. KATHLEEN R MOORE MD
NPI 1285607721
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Bend, OR

Q: What is Kathleen Moore's NPI number?

The NPI number for Kathleen Moore is 1285607721. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Q: What is Kathleen Moore's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Moore was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 07, 2006PECOS Enrolled

1303 NE CUSHING DR STE 100, BEND, OR 97701(541) 388-2333(541) 388-0930 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2018, Aug 28, 2018 (2 updates tracked since 2018).

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About Dr. Kathleen R Moore Md NPPES

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

DR. KATHLEEN R MOORE MD (NPI 1285607721) is an individual orthopaedic surgery of the spine provider in Bend, Oregon, licensed in Oregon (MD19840) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285607721

Entity TypeIndividualFemale

Primary Taxonomy207XS0117X

Provider Legal NameDR. KATHLEEN R MOORECredential: MD

Location Address1303 NE CUSHING DR STE 100Bend, OR 97701

Mailing Address1303 Ne Cushing Dr, Suite 100Bend, OR 97701-3887 · (541) 388-2333

Phone(541) 388-2333

Fax(541) 388-0930

Sole ProprietorNo

Enumeration DateFebruary 7, 2006

Last NPPES UpdateSeptember 11, 20182 updates tracked since enumeration

✔ NPI 1285607721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in OR · MD19840

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

1303 NE CUSHING DR STE 100, Bend, OR 97701

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Other Identifiers 2

Medicaid079954OR

Other200026305OR · Railroad Medicare

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. Kathleen R Moore Md 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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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