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DR. JOHN T MOORE MD
NPI 1356399323
Internal Medicine in Saint Louis, MO

Active since May 04, 2006Opted out of Medicare · through Jan 1, 2027
2905 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144(636) 464-9333(314) 461-6518 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John T Moore Md NPPES

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

DR. JOHN T MOORE MD (NPI 1356399323) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (2004005496) and active in the NPI registry since May 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356399323
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN T MOORECredential: MD
Location Address2905 S BRENTWOOD BLVDSaint Louis, MO 63144-2713
Mailing Address454 W Jackson RdSaint Louis, MO 63119-3647 · (636) 485-1524 · Fax (314) 461-6518
Phone(636) 464-9333
Fax(314) 461-6518
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1356399323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2004005496
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 2004005496 (MO)
2905 S BRENTWOOD BLVD, Saint Louis, MO 63144
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Other Names 1

Other Name (5)Dr. Jay T Moore Md

Other Identifiers 1

Medicaid208738401MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. John T Moore Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63144 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.

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 John Moore's NPI number?

The NPI number for John Moore is 1356399323. It was assigned to this individual provider in the NPPES registry on May 4, 2006. The provider is also known as Dr. Jay T Moore MD.

Where is John Moore located?

John Moore practices at 2905 S Brentwood Blvd, Saint Louis, MO 63144. The listed phone number is (636) 464-9333.

What is John Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Moore enrolled in Medicare?

No. John Moore has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Moore was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.