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Deactivated NPI 1124008412 Deactivated / Inactive NPI Male Practitioner

Dr. Timothy Russell Moreno , MD

Specialist • Sonora, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Timothy Moreno has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 20, 2006
NPI Deactivation Date February 05, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Moreno, MD was a registered Specialist practicing in Sonora, CA. Throughout an active medical career spanning 14 years, Dr. Moreno provided care at the practice location at 105 S FOREST ROAD until profile deactivation on 2020-02-05.

Historical Medicare Part B clinical services included automated urinalysis test, established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

105 S Forest Road

Sonora, CA 95370

Telephone 2095324888
Fax 2095328436

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Sonora, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 50.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Sonora, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
81003 Automated urinalysis test
800 308 $5.01 $2.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
631 256 $158.48 $111.20
51798 Ultrasound measurement of bladder capacity after voiding
619 230 $77.47 $13.44
99213 Established patient office or other outpatient visit, typically 15 minutes
247 168 $141.07 $76.39
76856 Complete ultrasound scan of pelvis
139 136 $140.65 $114.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
131 131 $182.90 $166.82
51741 Electronic assessment of bladder emptying
121 99 $61.40 $11.74
52000 Diagnostic exam of bladder and urethra using an endoscope
77 69 $232.14 $196.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
69 58 $196.74 $145.21
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow
68 64 $394.85 $291.52
51701 Insertion of temporary bladder tube
60 43 $127.50 $45.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
56 12 $32.32 $17.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
52 52 $223.17 $210.94
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings
46 45 $132.61 $33.86
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies
44 43 $444.09 $362.99
76872 Ultrasound scan of pelvic region through rectum
35 33 $153.57 $136.01
81001 Manual urinalysis test with examination using microscope, automated
34 28 $5.00 $3.45
52648 Laser vaporization of prostate including control of bleeding using an endoscope
32 31 $1004.38 $713.46
51702 Simple insertion of temporary bladder tube
24 16 $121.25 $62.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
17 16 $247.35 $203.87
76870 Ultrasound scan of scrotum
16 16 $139.38 $111.10
55700 Biopsy of prostate gland
12 12 $325.82 $261.91
93980 Ultrasound scan of penile arterial inflow and venous outflow
12 12 $173.75 $131.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle
12 12 $97.50 $59.31
51797 Insertion of device into abdomen with pressure and urine flow rate study
12 12 $150.00 $147.60
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
11 11 $75.00 $23.96

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A45369

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 05, 2020

Record deactivated on February 05, 2020

NPI Profile Active August 19, 2013

NPI status registered as active in NPPES database

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Updated Practice Location August 19, 2013

Registered at 105 S FOREST ROAD, SONORA, CA 95370 (Tel: 2095324888)

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Updated Business Mailing Address August 19, 2013

Registered at 105 FOREST ROAD, SONORA, CA 95370 (Tel: 2095324888)

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Provider Name / Credentials Updated August 19, 2013

Recorded as TIMOTHY MORENO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2013

Specialist (License #A45369 in CA)

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Initial NPI Registration & Enumeration January 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124008412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2006
Last Update: August 19, 2013
Deactivation Date: February 05, 2020

Mailing Address

105 Forest Road

Sonora, CA 95370

Phone: 2095324888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.