Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TARA L MOORE D.O.
NPI 1740608884
Obstetrics & Gynecology in Sault Sainte Marie, MI

Q: What is Tara Moore's NPI number?

The NPI number for Tara Moore is 1740608884. It was assigned to this individual provider in the NPPES registry on April 5, 2014.

Q: What is Tara Moore's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Moore was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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 April 05, 2014PECOS Enrolled

509 OSBORN BLVD STE 120, SAULT SAINTE MARIE, MI 49783(906) 635-3002 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Aug 12, 2020, Apr 10, 2019 (3 updates tracked since 2019).

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About Tara L Moore D.o. NPPES

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

TARA L MOORE D.O. (NPI 1740608884) is an individual obstetrics & gynecology provider in Sault Sainte Marie, Michigan, licensed in Michigan (5101028043) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Chippewa County War Memorial Hospital, and maintains a secondary practice location in Joplin.

NPPES Registry Identity

NPI1740608884

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameTARA L MOORECredential: D.O.

Location Address509 OSBORN BLVD STE 120Sault Sainte Marie, MI 49783-2071

Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (844) 832-1956

Phone(906) 635-3002

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2018

Enumeration DateApril 5, 2014

Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1740608884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in MI · 5101028043✔ Licensed in VA · 0102205234✔ Licensed in MO · 2020020209

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

509 OSBORN BLVD STE 120, Sault Sainte Marie, MI 49783

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Secondary Practice Location 1

Location 1100 Mercy Way Ste 510Joplin, MO 64804-4524 · Phone (417) 623-6056

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Tara L 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 ID6204121551

PECOS Enrollment IDI20200731000295, I20240607002890

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230239

Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49783 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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

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

KEVIN SORAH DO

Obstetrics & Gynecology

509 OSBORN BLVD STE 120
SAULT SAINTE MARIE, MI 49783

Chippewa County (906) 635-3002

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 Tara Moore's NPI number?

The NPI number for Tara Moore is 1740608884. It was assigned to this individual provider in the NPPES registry on April 5, 2014.

Where is Tara Moore located?

Tara Moore practices at 509 Osborn Blvd Ste 120, Sault Sainte Marie, MI 49783. The listed phone number is (906) 635-3002.

What is Tara Moore's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tara Moore enrolled in Medicare?

Yes. Tara 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 Tara Moore accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Tara 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.

Is Tara Moore affiliated with any hospitals?

According to CMS data, Tara Moore is affiliated with Chippewa County War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tara Moore was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.