KATHERINE LEIGH PESTUN MOORE DO
NPI 1972243590
Family Medicine in Marshall, MI
About Katherine Leigh Pestun Moore Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE LEIGH PESTUN MOORE DO (NPI 1972243590) is an individual family medicine provider in Marshall, Michigan, licensed in Michigan (5151015428APP22) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Oaklawn Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katherine Leigh Pestun Moore Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Katherine Pestun Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marshall, MI 49068
- Reassigned Medicare billing, Michigan enrollment
- 168 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Oaklawn Hospital
Acute Care Hospitals · Marshall, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49068 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARSHALL, MI 49068
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 Katherine Pestun Moore's NPI number?
The NPI number for Katherine Pestun Moore is 1972243590. It was assigned to this individual provider in the NPPES registry on March 31, 2022. The provider is also known as Katherine Leigh Pestun.
Where is Katherine Pestun Moore located?
Katherine Pestun Moore practices at 215 E Mansion St Ste 1E, Marshall, MI 49068. The listed phone number is (269) 781-3938.
What is Katherine Pestun Moore's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Katherine Pestun Moore enrolled in Medicare?
Yes. Katherine Pestun 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.
Which organization bills Medicare for Katherine Pestun Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Pestun Moore reassigns Medicare benefits to Ella E M Brown Charitable Circle (Marshall, MI). 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 Katherine Pestun Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Pestun Moore accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Katherine Pestun 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 Katherine Pestun Moore affiliated with any hospitals?
According to CMS data, Katherine Pestun Moore is affiliated with Oaklawn Hospital.
When was this NPI record last updated?
The NPPES record for Katherine Pestun Moore was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Katherine Leigh Pestun Moore, DO · NPI 1972243590
Family Medicine physician in Marshall, Michigan. Individual provider, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1972243590 (Entity type: Individual)
- **Enumerated:** March 31, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 5151015428APP22 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 215 E MANSION ST STE 1E, Marshall, MI 49068-1167
- **Phone:** (269) 781-3938
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ella E M Brown Charitable Circle (NPI 1043660467, Marshall, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2022
## Record status
- **NPPES last updated:** October 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972243590) · Data from the CMS NPPES public registry.