GREGORY TODD MOORE, DO PA
NPI 1295961233
Orthopaedic Surgery - Sports Medicine in Mansfield, TX

Q: What is Gregory Todd Moore, Do PA's NPI number?

The NPI number for Gregory Todd Moore, Do PA is 1295961233. It was assigned to this organization in the NPPES registry on June 4, 2009. The provider is doing business as Ellis County Orthopedic Sports Medicine Clinic.

Q: What is Gregory Todd Moore, Do PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since June 04, 2009

1320 HIGHWAY 287 S, MANSFIELD, TX 76063(817) 968-5806(915) 703-7745 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2025, Nov 8, 2024, Jun 20, 2023 and 1 more (4 updates tracked since 2020).

On this page

About Gregory Todd Moore, Do Pa NPPES

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

GREGORY TODD MOORE, DO PA (NPI 1295961233), doing business as Ellis County Orthopedic Sports Medicine Clinic, is a healthcare organization registered as a sports medicine in Mansfield, Texas and active in the NPI registry since June 2009. The organization lists Kate Kiser, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1295961233

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameGREGORY TODD MOORE, DO PA

Location Address1320 HIGHWAY 287 SMansfield, TX 76063-5701

Mailing Address2901 Acme Brick PlzFort Worth, TX 76109-4124 · (817) 529-1900 · Fax (817) 529-1910

Phone(817) 968-5806

Fax(915) 703-7745

Organization SubpartNo

Authorized OfficialKate KiserPractice Manager · (817) 529-1900

Enumeration DateJune 4, 2009

Last NPPES UpdateNovember 5, 20254 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1295961233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in TX · N0287

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

1320 HIGHWAY 287 S, Mansfield, TX 76063

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Other Names 1

Doing Business AsEllis County Orthopedic Sports Medicine Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Todd Moore, Do Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTexasEnrollment IDO20090911000301Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gregory Todd Moore, Do PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gregory Moore, DO

Orthopedic Surgery

NPI 1013108653

1320 HIGHWAY 287 S
Mansfield, TX 76063

(817) 968-5806

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gregory Todd Moore, Do PA's NPI number?

The NPI number for Gregory Todd Moore, Do PA is 1295961233. It was assigned to this organization in the NPPES registry on June 4, 2009. The provider is doing business as Ellis County Orthopedic Sports Medicine Clinic.

Where is Gregory Todd Moore, Do PA located?

Gregory Todd Moore, Do PA is located at 1320 Highway 287 S, Mansfield, TX 76063. The listed phone number is (817) 968-5806.

What is Gregory Todd Moore, Do PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Gregory Todd Moore, Do PA enrolled in Medicare?

Yes. Gregory Todd Moore, Do PA is registered in the Medicare PECOS enrollment system.

When is Gregory Todd Moore, Do PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Gregory Todd Moore, Do PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Gregory Todd Moore, Do PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gregory Todd Moore, Do PA accept?

Health plans from Molina Healthcare list Gregory Todd Moore, Do PA 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.

When was this NPI record last updated?

The NPPES record for Gregory Todd Moore, Do PA was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.