DR. MARK TYLER MOORE AUD
NPI 1487002689
Audiologist in Santa Clara, CA
About Dr. Mark Tyler Moore Aud NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK TYLER MOORE AUD (NPI 1487002689) is an individual audiologist in Santa Clara, California, licensed in California (3334) and active in the NPI registry since May 2016. He is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Mark Tyler Moore Aud 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 Reassignment
Medicare enrollment records show Mark Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA CLARA, CA 95051
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 Mark Moore's NPI number?
The NPI number for Mark Moore is 1487002689. It was assigned to this individual provider in the NPPES registry on May 27, 2016.
Where is Mark Moore located?
Mark Moore practices at 700 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (423) 360-3883.
What is Mark Moore's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Mark Moore enrolled in Medicare?
Yes. Mark 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 organization bills Medicare for Mark Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Moore reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). 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 Mark Moore'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 Mark Moore was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Dr. Mark Tyler Moore, AUD · NPI 1487002689
Audiologist provider in Santa Clara, California. Individual provider, active in the CMS NPPES registry since May 27, 2016.
## Identity
- **NPI:** 1487002689 (Entity type: Individual)
- **Enumerated:** May 27, 2016
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 3334 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 700 LAWRENCE EXPY, Santa Clara, CA 95051-5173
- **Phone:** (423) 360-3883
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1487002689) · Data from the CMS NPPES public registry.