TIM J MOORE MD
NPI 1730147497
Obstetrics & Gynecology in Taos, NM
About Tim J Moore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIM J MOORE MD (NPI 1730147497) is an individual obstetrics & gynecology provider in Taos, New Mexico, licensed in New Mexico (MD2008-0111) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tim J Moore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tim Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Taos, NM 87571
- Reassigned Medicare billing, New Mexico enrollment
- 56 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87571 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tim Moore's NPI number?
The NPI number for Tim Moore is 1730147497. It was assigned to this individual provider in the NPPES registry on May 3, 2006.
Where is Tim Moore located?
Tim Moore practices at 1329 Gusdorf Rd, Taos, NM 87571. The listed phone number is (575) 758-5001.
What is Tim Moore's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Tim Moore enrolled in Medicare?
Yes. Tim Moore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tim Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tim Moore reassigns Medicare benefits to Taos Professional Services, LLC (Taos, NM). 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 Tim Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tim Moore was last updated on February 3, 2012. 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.
# Tim J Moore, MD · NPI 1730147497
Obstetrics & Gynecology physician in Taos, New Mexico. Individual provider, active in the CMS NPPES registry since May 3, 2006.
## Identity
- **NPI:** 1730147497 (Entity type: Individual)
- **Enumerated:** May 3, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD2008-0111 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1329 GUSDORF RD, Taos, NM 87571
- **Phone:** (575) 758-5001 · **Fax:** (575) 737-5046
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Taos Professional Services, LLC (NPI 1235597964, Taos, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2012
- **Other identifiers:** Medicare ID-Type Unspecified J14611; Medicare UPIN E11864; Medicaid 60122838 (NM); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1730147497) · Data from the CMS NPPES public registry.