DR. SCOTT RICHARD MOORE D.O.
NPI 1619356961
Internal Medicine - Critical Care Medicine in Park Ridge, IL
About Dr. Scott Richard Moore D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SCOTT RICHARD MOORE D.O. (NPI 1619356961) is an individual critical care medicine provider in Park Ridge, Illinois, licensed in Michigan (5151015314) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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. Scott Richard 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 Reassignment
Medicare enrollment records show Scott Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- Also billed through NPI 1629441027 (Illinois)
- 4,870 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
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.
Advocate Lutheran General Hospital
Acute Care Hospitals · Park Ridge, ILAdvocate Good Shepherd Hospital
Acute Care Hospitals · Barrington, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60068 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.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
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 Scott Moore's NPI number?
The NPI number for Scott Moore is 1619356961. It was assigned to this individual provider in the NPPES registry on May 20, 2015.
Where is Scott Moore located?
Scott Moore practices at 1775 Dempster St, Park Ridge, IL 60068. The listed phone number is (708) 283-5500.
What is Scott Moore's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Scott Moore enrolled in Medicare?
Yes. Scott 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 Scott Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Moore reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, 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 Scott Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Scott Moore affiliated with any hospitals?
According to CMS data, Scott Moore is affiliated with Advocate Lutheran General Hospital and Advocate Good Shepherd Hospital.
When was this NPI record last updated?
The NPPES record for Scott Moore was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Dr. Scott Richard Moore, D.O. · NPI 1619356961
Critical Care Medicine physician in Park Ridge, Illinois. Individual provider, active in the CMS NPPES registry since May 20, 2015.
## Identity
- **NPI:** 1619356961 (Entity type: Individual)
- **Enumerated:** May 20, 2015
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 5151015314 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1775 DEMPSTER ST, Park Ridge, IL 60068-1143
- **Phone:** (708) 283-5500 · **Fax:** (847) 723-0118
## 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:** Lutheran General Hospital (NPI 1801809306, Park Ridge, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2015
## Record status
- **NPPES last updated:** November 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619356961) · Data from the CMS NPPES public registry.