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MICHAEL J MOORE MD
NPI 1285668772
Internal Medicine - Pulmonary Disease in Elmhurst, IL

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
133 E BRUSH HILL RD STE 310, ELMHURST, IL 60126(331) 221-9003(331) 221-2743 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Nov 12, 2024, Jun 3, 2024 and 1 more (4 updates tracked since 2021).

About Michael J Moore Md NPPES

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

MICHAEL J MOORE MD (NPI 1285668772) is an individual pulmonary disease provider in Elmhurst, Illinois, licensed in Illinois (036101366) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Genesis Medical Center-davenport, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285668772
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL J MOORECredential: MD
Location Address133 E BRUSH HILL RD STE 310Elmhurst, IL 60126-5662
Mailing Address4201 Winfield Rd Fl 4Warrenville, IL 60555-4025 · (331) 221-6377 · Fax (331) 221-2357
Phone(331) 221-9003
Fax(331) 221-2743
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1997
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 4, 20244 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1285668772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IL · 036101366
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036101366 (IL)
133 E BRUSH HILL RD STE 310, Elmhurst, IL 60126
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11130 W 4th St Ste 2001Lawrence, KS 66044-1345 · Phone (785) 505-3205 · Fax (785) 505-5261
Location 21130 W 4th St Ste 2050Lawrence, KS 66044-1333 · Phone (785) 505-3205 · Fax (785) 505-5261

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Michael J Moore 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 ID244139897
PECOS Enrollment IDI20240412002288, I20240912002578
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

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.

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.
22 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160067
Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers66 claims66 services$30.64 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers64 claims64 services$67.48 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers65 claims178 services$27.17 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers25 claims144 services$14.27 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers23 claims122 services$13.74 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers48 claims48 services$44.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KENDALL KILANDER PA-C
Physician Assistant
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Dupage County (331) 221-9003
COURTNEY ERIN IWERSEN APN-CNP
Nurse Practitioner
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Dupage County (331) 221-9003
PHILLIP COZZI MD
Internal Medicine (Pulmonary Disease)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Dupage County (331) 221-9003
MAHMOUD ALSAYED M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Dupage County (331) 221-9003
KRISTA HENSLEY FNP-C
Nurse Practitioner
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Dupage County (331) 221-9003
PATRICK J LYNCH MD
Internal Medicine (Gastroenterology)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Dupage County (331) 221-9003
DR. JASON BRADLEY KRAMER M.D.
Internal Medicine (Gastroenterology)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Dupage County (331) 221-9003
ROSHAN SHER ALI MD
Internal Medicine (Nephrology)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Dupage County (331) 221-9003

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 Michael Moore's NPI number?

The NPI number for Michael Moore is 1285668772. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Michael Moore located?

Michael Moore practices at 133 E Brush Hill Rd Ste 310, Elmhurst, IL 60126. The listed phone number is (331) 221-9003.

What is Michael Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Moore enrolled in Medicare?

Yes. Michael 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 Michael Moore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Michael 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 Michael Moore affiliated with any hospitals?

According to CMS data, Michael Moore is affiliated with Genesis Medical Center-Davenport and Mercyone Waterloo Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Moore was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.