NPIMap

Individual provider Active NPI

Ryan Timothy Moore, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Anchorage, AK
National Provider Identifier
1003094749
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
136059 Issued in AK
Practice address
4739 Egret Rock Cir
Anchorage, AK 99507-4390
Phone
(831) 917-8761
NPI assigned
Feb 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A100506 CA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 136059 AK Primary

Addresses

Primary practice location

4739 Egret Rock Cir
Anchorage, AK 99507-4390

Mailing address

4739 Egret Rock Cir RM 21005
Anchorage, AK 99507-4390
Phone (831) 917-8761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161203000069 TX Practitioner - Orthopedic Surgery 1355537598 Reassigns benefits to 2 organizations
I20250115001424 AK Practitioner - Orthopedic Surgery 1355537598

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Davis School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tanana Chiefs ConferenceGroup PAC ID 9537050109, 148 clinicians
Alaska Native Tribal Health ConsortiumGroup PAC ID 6709780265, 605 clinicians

Practice addresses (Care Compare)

1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

Hospital & facility affiliations

  • Alaska Native Medical Center Hospital, Anchorage, AK, CCN 020026
  • Southeast Alaska Regional Health Consortium Hospital, Sitka, AK, CCN 021314
  • Norton Sound Regional Hospital Hospital, Nome, AK, CCN 021308
  • Bristol Bay Dba Kanakanak Hospital Hospital, Dillingham, AK, CCN 021309

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement18
Knee replacement24
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100506CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aft Medical Ak LLC Orthopaedic Surgery CurrentSince Dec 23, 2024 Accepting new patients

Locations

2518 E Tudor Rd
Ste 106
Anchorage, AK 99507
Phone (907) 223-3564

Interoperability endpoints

  • Direct secure messaging: rtmoore@direct.anthc.org
  • Direct secure messaging: ryan.moore.1@15989.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/-yJKGL5-49LdGDJaxmfdb85K2Njr-hkB/
  • Direct secure messaging: ryan.moore.1@32219.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 52

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 52

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1003094749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 EGRET ROCK CIR RM 21005",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074390",
            "telephone_number": "831-917-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4739 EGRET ROCK CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074390",
            "telephone_number": "831-917-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RYAN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A100506",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AK",
            "license": "136059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.