DR. SCOTT RICHARD MOORE D.O.
NPI 1619356961
Internal Medicine - Critical Care Medicine in Park Ridge, IL

Q: 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.

Q: 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.

Q: 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 21 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.

Active since May 20, 2015PECOS EnrolledAccepts Medicare Assignment

1775 DEMPSTER ST, PARK RIDGE, IL 60068(708) 283-5500(847) 723-0118 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Oct 3, 2024, Jun 24, 2021, Jul 25, 2019 (3 updates tracked since 2019).

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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

NPI1619356961

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. SCOTT RICHARD MOORECredential: D.O.

Location Address1775 DEMPSTER STPark Ridge, IL 60068-1143

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(708) 283-5500

Fax(847) 723-0118

Sole ProprietorYes

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2015

Enumeration DateMay 20, 2015

Last NPPES UpdateNovember 27, 20243 updates tracked since enumeration

NPPES CertifiedNovember 27, 2024

✔ NPI 1619356961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

Licenses✔ Licensed in MI · 5151015314✔ Licensed in IL · 036.171872

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License NA (NJ)

1775 DEMPSTER ST, Park Ridge, IL 60068

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Secondary Practice Locations 2

Location 11 Cooper PlzCamden, NJ 08103-1461 · Phone (800) 826-6737

Location 2240 Meeting House LnSouthampton, NY 11968-5009 · Phone (631) 726-8200

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

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.

PECOS PAC ID3577004449

PECOS Enrollment IDI20240918003591

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

36 services24 patients

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, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140223

Location1775 Dempster StPark Ridge, IL 60068 · Cook County

Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140291

Location450 West Highway 22Barrington, IL 60010 · Lake County

Emergency services Birthing friendly

Physician 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.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 20

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

MS. STACEY K VILIONE PA-C

Physician Assistant (Surgical)