ELLEN MOORE MD
NPI 1992299515
Family Medicine in Hudsonville, MI

Q: What is Ellen Moore's NPI number?

The NPI number for Ellen Moore is 1992299515. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Ellen Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ellen Moore was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment

3912 32ND AVE, HUDSONVILLE, MI 49426(616) 252-8700(616) 252-8750 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2021, Jan 23, 2019, Jun 21, 2018 (3 updates tracked since 2018).

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About Ellen Moore Md NPPES

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

ELLEN MOORE MD (NPI 1992299515) is an individual family medicine provider in Hudsonville, Michigan, licensed in Michigan (4351027347) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and is a graduate of Michigan State University College Of Human Medicine (2018).

NPPES Registry Identity

NPI1992299515

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELLEN MOORECredential: MD

Location Address3912 32ND AVEHudsonville, MI 49426-8460

Mailing Address3912 32nd AveHudsonville, MI 49426-8460 · (616) 252-8700 · Fax (616) 252-8750

Phone(616) 252-8700

Fax(616) 252-8750

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2018

Enumeration DateJune 18, 2018

Last NPPES UpdateAugust 25, 20213 updates tracked since enumeration

NPPES CertifiedAugust 25, 2021

✔ NPI 1992299515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · 4351027347✔ Licensed in MI · 4301115010

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.

3912 32ND AVE, Hudsonville, MI 49426

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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, Priority Health.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

Ellen Moore Md 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 ID7810245180

PECOS Enrollment IDI20210805000727

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.

56 services33 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.

30 services26 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230236

Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49426 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 11

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

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