DR. MICHAEL BENJAMIN MOORE DO
NPI 1538110911
Emergency Medicine - Emergency Medical Services in Joint Base Lewis Mcchord, WA
About Dr. Michael Benjamin Moore Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL BENJAMIN MOORE DO (NPI 1538110911) is an individual emergency medical services provider in Joint Base Lewis Mcchord, Washington, licensed in Washington (OP61069996) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Joseph Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 3
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
Dr. Michael Benjamin Moore Do 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
6Medicare enrollment records show Michael Moore reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Puyallup, WA 98371
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Davenport, WA 99122
- Reassigned Medicare billing, Washington enrollment
- 25 clinicians in this Medicare group
Colville, WA 99114
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1003067679 (Washington)
- 44 clinicians in this Medicare group
Chewelah, WA 99109
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1750532321 (Washington)
- 27 clinicians in this Medicare group
Colfax, WA 99111
- Reassigned Medicare billing, Washington enrollment
- 69 clinicians in this Medicare group
Coeur D Alene, ID 83815
- Reassigned Medicare billing, Idaho enrollment
- 19 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 3
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Joseph Hospital
Critical Access Hospitals · Chewelah, WAProvidence Mount Carmel Hospital
Critical Access Hospitals · Colville, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98431 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.
JOINT BASE LEWIS MCCHORD, WA 98431
TACOMA, WA 98431
JOINT BASE LEWIS MCCHORD, WA 98431
JOINT BASE LEWIS MCCHORD, WA 98431
JOINT BASE LEWIS MCCHORD, WA 98431
JOINT BASE LEWIS MCCHORD, WA 98431
JOINT BASE LEWIS MCCHORD, WA 98431
JOINT BASE LEWIS MCCHORD, WA 98431
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 Michael Moore's NPI number?
The NPI number for Michael Moore is 1538110911. It was assigned to this individual provider in the NPPES registry on May 12, 2006.
Where is Michael Moore located?
Michael Moore practices at 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431. The listed phone number is (253) 968-1340.
What is Michael Moore's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.
Is Michael Moore enrolled in Medicare?
Yes. Michael 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 Michael Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Moore reassigns Medicare benefits to 6 organizations: Multicare Health System (Puyallup, WA), Lincoln County Hospital District #3 (Davenport, WA), Providence Health & Services - Washington (Colville, WA), Providence Health & Services - Wa (Chewelah, WA), Public Hospital District No 3 Of Whitman County (Colfax, WA) and 1 more organization, listed in the Medicare section above. 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 Michael Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Moore accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael 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 Michael Moore affiliated with any hospitals?
According to CMS data, Michael Moore is affiliated with Providence St Joseph Hospital and Providence Mount Carmel Hospital.
When was this NPI record last updated?
The NPPES record for Michael Moore was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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. Michael Benjamin Moore, DO · NPI 1538110911
Emergency Medical Services physician in Joint Base Lewis Mcchord, Washington. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1538110911 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Emergency Medicine - Emergency Medical Services · taxonomy 207PE0004X
- **State license:** OP61069996 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 9040 FITZSIMMONS DR, Joint Base Lewis Mcchord, WA 98431-3689
- **Phone:** (253) 968-1340
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Multicare Health System (NPI 1700396652, Puyallup, WA); Lincoln County Hospital District #3 (NPI 1841234598, Davenport, WA); Providence Health & Services - Washington (NPI 1841442332, Colville, WA); Providence Health & Services - Wa (NPI 1902058399, Chewelah, WA); Public Hospital District No 3 Of Whitman County (NPI 1922009448, Colfax, WA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1538110911) · Data from the CMS NPPES public registry.