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TRACY MOORE RD
NPI 1588024483
Dietitian, Registered in Portland, OR

Active since March 04, 2016Accepts Medicare Assignment
205 SE SPOKANE ST STE 356, PORTLAND, OR 97202(503) 388-4255(503) 608-4533 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2026, Mar 4, 2016 (2 updates tracked since 2016).

About Tracy Moore Rd NPPES

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

TRACY MOORE RD (NPI 1588024483) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (LD-D-10266883) and active in the NPI registry since March 2016. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1588024483
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTRACY MOORECredential: RD
Location Address205 SE SPOKANE ST STE 356Portland, OR 97202-6494
Mailing Address205 Se Spokane St Ste 300Portland, OR 97202-6487 · (503) 388-4255 · Fax (503) 608-4533
Phone(503) 388-4255
Fax(503) 608-4533
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 4, 2016
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1588024483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OR · LD-D-10266883
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
205 SE SPOKANE ST STE 356, Portland, OR 97202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracy Moore Rd 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.

PECOS PAC ID3678850781
PECOS Enrollment IDI20260414002663, I20260415001681

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97202 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
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAN OAK WELLNESS SERVICES
Counselor (Mental Health)
205 SE SPOKANE ST STE 356
PORTLAND, OR 97202
Multnomah County (971) 272-6225
AYSHIA RANJITSINGH
Dietitian, Registered
205 SE SPOKANE ST STE 356
PORTLAND, OR 97202
Multnomah County (503) 388-4255

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 Tracy Moore's NPI number?

The NPI number for Tracy Moore is 1588024483. It was assigned to this individual provider in the NPPES registry on March 4, 2016.

Where is Tracy Moore located?

Tracy Moore practices at 205 SE Spokane St Ste 356, Portland, OR 97202. The listed phone number is (503) 388-4255.

What is Tracy Moore's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Tracy Moore enrolled in Medicare?

Yes. Tracy 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.

What insurance does Tracy Moore accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Tracy 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.

When was this NPI record last updated?

The NPPES record for Tracy Moore was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.