Melinda Beth Moore, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005343 Issued in IL

Practice address

807 S Division St
Carterville, IL 62918-1528

Phone

(618) 985-3338

Fax

(618) 985-3338

NPI assigned

Jan 8, 2009

Sex

Female

Sole proprietor

Yes

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 IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Franklin Hospital District 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franklin Hospital Hospital, Benton, IL, CCN 141321

Merit-based Incentive Payment System (MIPS)

Final score

69.41 of 100Reported as individual

Quality

38.82

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmoor128@yourcarecommunity.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.

• Franklin Hospital District

  • Internal Medicine Physician
  • Benton, IL
  • NPI 1255369427

  IL

  Medicare reassignment Care Compare group NPD
• Franklin Hospital District

  • Critical Access Hospital
  • Benton, IL
  • NPI 1699778951

  IL

  Medicare reassignment Care Compare group NPD
• Franklin Hospital District

  • Rural Health Clinic/Center
  • Christopher, IL
  • NPI 1134991292
  Care Compare group NPD
• Franklin Hospital District

  • Rural Health Clinic/Center
  • Benton, IL
  • NPI 1033140488
  Care Compare group
• Franklin Hospital District

  • Rural Health Clinic/Center
  • West Frankfort, IL
  • NPI 1376861385
  Care Compare group
• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138
  NPD (past)

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

• Franklin Hospital District

  • Critical Access Hospital
  • Benton, IL
  • NPI 1699778951

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508003849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S DIVISION ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181528",
            "telephone_number": "618-985-3338",
            "fax_number": "618-985-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S DIVISION ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181528",
            "telephone_number": "618-985-3338",
            "fax_number": "618-985-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3022 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483721",
            "country_code": "US",
            "telephone_number": "847-302-8115",
            "fax_number": "618-942-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MELINDA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gessie Miller, BA
• Sharrie Lynn Miller, MA CCC-SLP
• Patricia Mixon
• Mobility Life
• Mobility Life LLC
• Robin Moore
• Billynn J Moriarity
• Jill Elizabeth Morthland, MSW
• Linda Muckey
• Mary C Murray, LCP

• All providers in Carterville, IL
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.