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DR. JUDITH S MOORE DO
NPI 1659443539
Family Medicine in Midway, UT

Active since November 15, 2006Opted out of Medicare · through Feb 12, 2028
210 E MAIN ST, STE 101, MIDWAY, UT 84049(435) 657-1777(435) 657-0098 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Judith S Moore Do NPPES

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

DR. JUDITH S MOORE DO (NPI 1659443539) is an individual family medicine provider in Midway, Utah, licensed in Utah (180388-1204) and active in the NPI registry since November 2006. She has opted out of Medicare through February 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659443539
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JUDITH S MOORECredential: DO
Location Address210 E MAIN ST, STE 101Midway, UT 84049-6806
Mailing Address210 E Main St, Ste 101Midway, UT 84049-6806 · (435) 657-1777 · Fax (435) 657-0098
Phone(435) 657-1777
Fax(435) 657-0098
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateDecember 21, 2011
✔ NPI 1659443539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 180388-1204
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
210 E MAIN ST, Midway, UT 84049
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Other Identifiers 2

Medicare UPINE99335
Medicare ID-Type Unspecified005538501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Judith S Moore Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 12, 2016 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2016
Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84049 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

DR. BETH ANN HAGGETT LCSW, PHD
Social Worker (Clinical)
210 E MAIN ST, SUITE 108
MIDWAY, UT 84049
Wasatch County (435) 657-1777
DIAMOND SPRINGS WELLNESS CENTER PC
Family Medicine
210 E MAIN ST, SUITE 101
MIDWAY, UT 84049
Wasatch County (435) 657-1777

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 Judith Moore's NPI number?

The NPI number for Judith Moore is 1659443539. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Judith Moore located?

Judith Moore practices at 210 E Main St Ste 101, Midway, UT 84049. The listed phone number is (435) 657-1777.

What is Judith Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Judith Moore enrolled in Medicare?

No. Judith Moore has opted out of Medicare through February 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Judith Moore was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.