Individual provider Active NPI

Gregory Todd Moore, DO

  • Orthopaedic Surgery Physician
  • Mansfield, TX
National Provider Identifier
1013108653
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
N0287 Issued in TX
Practice address
1320 Highway 287 S
Mansfield, TX 76063-5701
Phone
(817) 968-5806
Fax
(915) 703-7745
NPI assigned
Aug 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 N0287 TX Primary
Orthopaedic Surgery Physician 207X00000X BP30020050 TX

Addresses

Primary practice location

1320 Highway 287 S
Mansfield, TX 76063-5701

Mailing address

2901 Acme Brick PLZ
Fort Worth, TX 76109-4124
Phone (817) 529-1900

Other identifiers 1

IdentifierTypeStateIssuer
209173801MedicaidTX

Other names 1

  • Todd Moore Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmoore@moore.direct.osmifw.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090911000265 TX Practitioner - Orthopedic Surgery 1355496597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
West Virginia School of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1320 Hwy 287 S
Mansfield, TX 76063-5701
Phone (817) 968-5806

2901 Acme Brick PLZ
Fort Worth, TX 76109-4124

Hospital & facility affiliations

  • Amatus Health Care LLC Home health agency, Farmers Branch, TX, CCN 747682
  • Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300
  • Texas Health Harris Methodist Hospital Cleburne Hospital, Cleburne, TX, CCN 450148

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)23
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP30020050TXMDOrthopaedic Surgery Physician
N0287TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Todd Moore, DO PA CurrentSince Jul 10, 2009 Accepting new patients
Michael H Boothby, MD PA Orthopaedic Surgery CurrentSince Jan 1, 2026 Accepting new patients

Locations

2203 W Lampasas St
Ste 114
Ennis, TX 75119
Phone (817) 731-9400

4441 Bryant Irvin Rd N
Ft Worth, TX 76107
Phone (817) 382-2150

2901 Acme Brick Plz
Ft Worth, TX 76109
Phone (817) 423-2329

1320 Highway 287 S
Mansfield, TX 76063
Phone (817) 968-5806

305 Regency Pkwy
Ste 405
Mansfield, TX 76063
Phone (682) 518-1100

Interoperability endpoints

  • Direct secure messaging: dmcgmoore@yourcarecommunity.org

Organizations & group practices 2

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1013108653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 ACME BRICK PLZ",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094124",
            "telephone_number": "817-529-1900",
            "fax_number": "817-529-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HIGHWAY 287 S",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635701",
            "telephone_number": "817-968-5806",
            "fax_number": "915-703-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GREGORY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N0287",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "BP30020050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209173801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmoore@moore.direct.osmifw.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1320 US 287",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TODD",
            "last_name": "MOORE",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.