TIMOTHY MORAN M.D.
NPI 1457535759
Emergency Medicine in Saint John, IN
About Timothy Moran M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY MORAN M.D. (NPI 1457535759) is an individual emergency medicine provider in Saint John, Indiana, licensed in Indiana (01100565A) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Kankakee.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy Moran M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Timothy Moran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Olympia Fields, IL 60461
- Reassigned Medicare billing, Illinois enrollment
- 982 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT JOHN, IN 46373
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 Moran's NPI number?
The NPI number for Timothy Moran is 1457535759. It was assigned to this individual provider in the NPPES registry on December 21, 2007.
Where is Timothy Moran located?
Timothy Moran practices at 9660 Wicker Ave, Saint John, IN 46373. The listed phone number is (219) 365-1177.
What is Timothy Moran's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Timothy Moran enrolled in Medicare?
Yes. Timothy Moran is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Timothy Moran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Moran reassigns Medicare benefits to Cepamerica Illinois LLP (Olympia Fields, IL). The 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 Moran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Timothy Moran was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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 Moran, M.D. · NPI 1457535759
Emergency Medicine physician in Saint John, Indiana. Individual provider, active in the CMS NPPES registry since December 21, 2007.
## Identity
- **NPI:** 1457535759 (Entity type: Individual)
- **Enumerated:** December 21, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 01100565A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 9660 WICKER AVE, Saint John, IN 46373-9487
- **Phone:** (219) 365-1177 · **Fax:** (219) 703-6662
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cepamerica Illinois LLP (NPI 1811697287, Olympia Fields, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2026
- **Other identifiers:** Medicaid 036076975 (IL); Other 4622394
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Source: [NPI Profile](https://npiprofile.com/npi/1457535759) · Data from the CMS NPPES public registry.