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Active NPI 1417392739 Individual Practitioner Male Practitioner

Dr. Deshon T Moore , MD

Emergency Medicine • Hazel Crest, IL

Professional Overview & Biography Verified Profile Summary

Dr. Deshon Moore, MD is a registered healthcare professional specializing in Emergency Medicine in Hazel Crest, IL. Practice services are available at 17800 KEDZIE AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17800 Kedzie Ave

Hazel Crest, IL 604292029

Telephone 2482296654
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Hazel Crest, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.4 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
33 Specialists

Practicing in Hazel Crest, IL (3389 Statewide)

Telehealth Adoption Rate
3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.2% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
121 119 $408.00 $124.86
99285 Emergency department visit for life threatening or functioning severity
109 106 $586.00 $182.72
99283 Emergency department visit with low level of medical decision making
15 15 $293.00 $75.40

Medical Specialties & State Licenses

CMS Verified: 2023-05-22
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License IL 036.132147

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Ginger Clinton , MD

Emergency Medicine

NPI 1003220336

Doctor of Medicine (M.D.)

Alexis Herron , OTR

Occupational Therapist

NPI 1003671439

Occupational Therapist Registered

Dr. Jessica Nicholson , DO

Psychiatry & Neurology - Psychiatry

NPI 1033435557

Doctor of Osteopathic Medicine (D.O.)

Elena Woulfe , OTR, L

Occupational Therapist

NPI 1033975289

Occupational Therapist Registered, L

NPI 1043694045

Doctor of Medicine (M.D.)

Kyriaki Keenan , PA-C

Physician Assistant

NPI 1043932403

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address May 22, 2023

Registered at 29373 NETWORK PL, CHICAGO, IL 606731293 (Tel: 8473905900)

NPI Profile Active April 30, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2013

Registered at 17800 KEDZIE AVE, HAZEL CREST, IL 604292029 (Tel: 2482296654)

📍
Updated Business Mailing Address April 30, 2013

Registered at 17800 KEDZIE AVE, HAZEL CREST, IL 604292029 (Tel: 2482296654)

👤
Provider Name / Credentials Updated April 30, 2013

Recorded as DESHON MOORE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2013

Emergency Medicine (License #036.132147 in IL)

🟢
Initial NPI Registration & Enumeration April 30, 2013

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: 1417392739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2013
Last Update: May 22, 2023
Sole Proprietor: No

Mailing Address

29373 Network Pl

Chicago, IL 606731293

Phone: 8473905900

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.