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DR. KENNETH LAWRENCE MOORE M.D.
NPI 1891899258
Psychiatry & Neurology - Addiction Medicine in Burr Ridge, IL

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
12 TARTAN RIDGE RD, BURR RIDGE, IL 60527(630) 323-1316 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Lawrence Moore M.d. NPPES

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

DR. KENNETH LAWRENCE MOORE M.D. (NPI 1891899258) is an individual addiction medicine provider in Burr Ridge, Illinois, licensed in Illinois (036-053328) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Chicago College Of Medicine And Surgery (1975).

NPPES Registry Identity

NPI1891899258
Entity TypeIndividualMale
Primary Taxonomy2084A0401X
Provider Legal NameDR. KENNETH LAWRENCE MOORECredential: M.D.
Location Address12 TARTAN RIDGE RDBurr Ridge, IL 60527-8904
Mailing Address12 Tartan Ridge RoadBurr Ridge, IL 60527-8904 · (630) 323-1316
Phone(630) 323-1316
Sole ProprietorYes
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1975
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJanuary 20, 2016
✔ NPI 1891899258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License✔ Licensed in IL · 036-053328
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
12 TARTAN RIDGE RD, Burr Ridge, IL 60527
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND14601IL
Medicare ID-Type Unspecified209060IL

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. Kenneth Lawrence Moore M.d. 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 ID446211874
PECOS Enrollment IDI20041020000200
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60527 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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 Kenneth Moore's NPI number?

The NPI number for Kenneth Moore is 1891899258. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Kenneth Moore located?

Kenneth Moore practices at 12 Tartan Ridge Rd, Burr Ridge, IL 60527. The listed phone number is (630) 323-1316.

What is Kenneth Moore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Kenneth Moore enrolled in Medicare?

Yes. Kenneth 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.

Is Kenneth Moore affiliated with any hospitals?

According to CMS data, Kenneth Moore is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Kenneth Moore was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.