Travis C Moore, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036119027 Issued in IL

Practice address

1025 Maine St
Quincy, IL 62301-4038

Phone

(217) 222-6550

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

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 2

Specialty

Family Practice

Education

Kansas City College of Medicine and Surgery, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quincy Physicians and Surgeons Clinic, PLLC 231 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmoore198151@direct.unitypoint.org

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.

• Quincy Physicians & Surgeons Clinic, PLLC

  • Clinic/Center
  • Quincy, IL
  • NPI 1548234198

  IL

  Medicare reassignment Care Compare group NPD
• Quincy Physicians & Surgeons Clinic, PLLC

  • Rural Health Clinic/Center
  • Pittsfield, IL
  • NPI 1356315899
  Care Compare group NPD
• Quincy Physicians & Surgeons Clinic, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Pittsfield, IL
  • NPI 1871794925
  Care Compare group NPD
• Quincy Physicians & Surgeons Clinic, PLLC

  • Rural Health Clinic/Center
  • Barry, IL
  • NPI 1013981547
  Care Compare group
• Quincy Physicians & Surgeons Clinic, PLLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Quincy, IL
  • NPI 1053410001
  Care Compare group
• Quincy Physicians & Surgeons Clinic, PLLC

  • Rural Health Clinic/Center
  • Winchester, IL
  • NPI 1114105749
  Care Compare group
• Quincy Physicians & Surgeons Clinic, PLLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Quincy, IL
  • NPI 1215497730
  Care Compare group
• Quincy Physicians & Surgeons Clinic, PLLC

  • Ambulatory Surgical Clinic/Center
  • Quincy, IL
  • NPI 1245862002
  Care Compare group
• Quincy Physicians & Surgeons Clinic, PLLC

  • Clinical Medical Laboratory
  • Quincy, IL
  • NPI 1396719431
  Care Compare group
• Quincy Physicians & Surgeons Clinic, PLLC

  • Rural Health Clinic/Center
  • Pleasant Hill, IL
  • NPI 1467426585
  Care Compare group
• Quincy Physicians & Surgeons Clinic, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Mt Sterling, IL
  • NPI 1598966640
  Care Compare group
• Quincy Physicians & Surgeons Clinic, PLLC

  • Clinical Medical Laboratory
  • Pittsfield, IL
  • NPI 1639711120
  Care Compare group

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1306919709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014038",
            "telephone_number": "217-222-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014038",
            "telephone_number": "217-222-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TRAVIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin S Moore
• Lacy D Moore, LSW
• Mandy Moore, PTA
• Sarah M Moore, P.T.
• Taylor J. Moore, DO
• Benjamin Allen Morelock
• Lorraine Morgan, PT, M.S.
• Timothy J Morgan, D.D.S.
• Sean P Moroze, MD
• Reuben P Morris, M.D.

• All providers in Quincy, IL
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.