Individual provider Active NPI

Thomas P Moore, MD

  • Orthopaedic Surgery Physician
  • Basalt, CO
National Provider Identifier
1952416422
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
24599 Issued in CO
Practice address
100 Elk Run Dr Ste 229
Basalt, CO 81621-9244
Phone
(970) 927-3344
Fax
(970) 927-9555
NPI assigned
Aug 21, 2006
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 24599 CO Primary

Addresses

Primary practice location

100 Elk Run Dr Ste 229
Basalt, CO 81621-9244

Mailing address

100 Elk Run Dr Ste 229
Basalt, CO 81621-9244
Phone (970) 927-3344

Other identifiers 1

IdentifierTypeStateIssuer
01245992MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20031125000351 CO Practitioner - Orthopedic Surgery 6002710696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Elk Run Dr
229 Moore Orthopedics
Basalt, CO 81621-1335
Phone (970) 927-3344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
40.82 of 100Reported as group
Quality
9.1
Promoting interoperability
100
Improvement activities
0
Cost
43.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24599COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Orthopedics Inc Current Accepting new patients
Thomas P. Moore, M.D., PH.D., P.C. Orthopaedic Surgery CurrentSince Jun 1, 1996 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Thomas P. Moore, M.D., PH.D., PC Orthopaedic Surgery Past Accepting new patients

Locations

100 Elk Run Dr
Ste 229
Basalt, CO 81621
Phone (970) 927-3344

Interoperability endpoints

  • Direct secure messaging: vvh_him@direct.vvh.org

Organizations & group practices 5

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

Hospital & facility affiliations 4

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1952416422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELK RUN DR STE 229",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816219244",
            "telephone_number": "970-927-3344",
            "fax_number": "970-927-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELK RUN DR STE 229",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816219244",
            "telephone_number": "970-927-3344",
            "fax_number": "970-927-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "THOMAS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "24599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01245992",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

Verify at the official NPI Registry.