TIMOTHY D MOORE D.O.
NPI 1396762910
Family Medicine in O Fallon, MO
About Timothy D Moore D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY D MOORE D.O. (NPI 1396762910) is an individual family medicine provider in O Fallon, Missouri, licensed in Missouri (106405) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
Timothy D Moore D.o. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Timothy Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Clair, MO 63077
- Reassigned Medicare billing, Missouri enrollment
- 76 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 140 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 611 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 11
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm St Joseph Health Center
Acute Care Hospitals · Saint Charles, MOBarnes Jewish Hospital
Acute Care Hospitals · Saint Louis, MOMissouri Baptist Medical Center
Acute Care Hospitals · Town And Country, MOBarnes-Jewish St Peters Hospital
Acute Care Hospitals · Saint Peters, MOProgress West Hospital
Acute Care Hospitals · O Fallon, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Timothy Moore's NPI number?
The NPI number for Timothy Moore is 1396762910. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Timothy Moore located?
Timothy Moore practices at 2630 Highway K, O Fallon, MO 63368. The listed phone number is (636) 240-5454.
What is Timothy Moore's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Timothy Moore enrolled in Medicare?
Yes. Timothy 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.
Which organizations bill Medicare for Timothy Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Moore reassigns Medicare benefits to 3 organizations: Missouri Baptist Hospital Of Sullivan (Saint Clair, MO), Fairview Heights Medical Group Sc (Saint Louis, MO) and Physician Groups Lc (Saint Louis, MO). 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 Timothy Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Moore accept?
Health plans from UnitedHealthcare list Timothy 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 Timothy Moore affiliated with any hospitals?
According to CMS data, Timothy Moore is affiliated with Ssm St Joseph Health Center, Barnes Jewish Hospital, Missouri Baptist Medical Center, Barnes-Jewish St Peters Hospital and Progress West Hospital.
When was this NPI record last updated?
The NPPES record for Timothy Moore 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 40 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.
# Timothy D Moore, D.O. · NPI 1396762910
Family Medicine physician in O Fallon, Missouri. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1396762910 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 106405 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2630 HIGHWAY K, O Fallon, MO 63368-6624
- **Phone:** (636) 240-5454 · **Fax:** (636) 980-5335
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Missouri Baptist Hospital Of Sullivan (NPI 1790953909, Saint Clair, MO); Fairview Heights Medical Group Sc (NPI 1679503668, Saint Louis, MO); Physician Groups Lc (NPI 1285664268, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Medicaid 245208616 (MO); Medicaid 1396762910 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1396762910) · Data from the CMS NPPES public registry.