Deactivated NPI 1316928229 Deactivated / Inactive NPI Male Practitioner

Dr. John B Moore , MD

Surgery - Plastic and Reconstructive Surgery • Olathe, KS

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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. John Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 08, 2005

NPI Deactivation Date November 08, 2005

Total Practice Duration ~1 Years of Practice (2005 – 2005)

Professional Overview & Biography Verified Profile Summary

Dr. John Moore, MD was a registered Surgery - Plastic and Reconstructive Surgery practicing in Olathe, KS. Throughout an active medical career spanning 1 years, Dr. Moore provided care at the practice location at 20375 W 151ST ST until profile deactivation on 2005-11-08.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, x-ray of finger, minimum of 2 views. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

20375 W 151st St
Suite 370

Olathe, KS 66061

Telephone 9137820707

Fax 9137825813

Associated Practice Facility / Clinic

🏢 Midwest Ear Nose And Throat Llc Facility NPI 1184622730

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Olathe, KS

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Olathe, KS (36 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.8% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$153.00	$86.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$196.00	$106.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	84	$153.00	$71.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$196.00	$101.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	36	$81.00	$42.73
73140 X-ray of finger, minimum of 2 views	31	19	$72.00	$32.80
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	30	25	$9.00	$7.02
73100 X-ray of wrist, 2 views	30	24	$92.00	$30.35
73120 X-ray of hand, 2 views	27	18	$95.00	$26.99
20550 Injection into tendon or ligament	22	18	$160.00	$48.61
J1040 Injection, methylprednisolone acetate, 80 mg	18	13	$35.56	$11.61
26055 Incision of tendon covering	16	14	$1320.00	$497.71
20605 Aspiration and/or injection of medium joint or joint capsule	16	13	$161.50	$49.51
64721 Release and/or relocation of hand nerve	15	14	$1400.13	$243.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	83	$153.00	$70.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	104	$196.00	$101.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	75	$81.00	$42.25
73120 X-ray of hand, 2 views	46	32	$95.00	$26.86
73140 X-ray of finger, minimum of 2 views	40	20	$72.00	$30.97
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	30	23	$9.00	$6.80
20550 Injection into tendon or ligament	28	21	$160.00	$45.92
73100 X-ray of wrist, 2 views	27	20	$92.00	$31.63
J1040 Injection, methylprednisolone acetate, 80 mg	17	13	$32.00	$12.05
20605 Aspiration and/or injection of medium joint or joint capsule	16	14	$152.00	$47.94
26055 Incision of tendon covering	14	11	$1320.00	$229.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	135	91	$153.00	$66.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$196.00	$97.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	63	$81.00	$39.95
73120 X-ray of hand, 2 views	54	30	$95.00	$25.36
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	39	25	$8.60	$6.72
20550 Injection into tendon or ligament	28	20	$160.00	$44.68
73100 X-ray of wrist, 2 views	27	21	$92.00	$28.23
26055 Incision of tendon covering	21	16	$1320.00	$182.66
20605 Aspiration and/or injection of medium joint or joint capsule	18	13	$160.44	$36.98
J1040 Injection, methylprednisolone acetate, 80 mg	15	13	$32.00	$12.24
73140 X-ray of finger, minimum of 2 views	14	12	$72.00	$28.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	67	$129.09	$67.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$159.56	$99.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	48	$77.00	$40.67
73120 X-ray of hand, 2 views	46	28	$82.93	$23.67
73100 X-ray of wrist, 2 views	29	20	$92.00	$26.64
20600 Aspiration and/or injection of fluid from small joint	25	15	$106.48	$37.02
J1040 Injection, methylprednisolone acetate, 80 mg	23	17	$32.00	$10.61
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	23	17	$8.23	$6.68
20550 Injection into tendon or ligament	22	17	$147.27	$46.36
26055 Incision of tendon covering	20	12	$1320.00	$173.29
73140 X-ray of finger, minimum of 2 views	19	16	$72.00	$28.74

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License KS 0420320

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2086S0105X

State License KS 0420320

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100205260A (KS)

Commercial Insurance / Payer ID United Health Care

563754 (KS)

Commercial Insurance / Payer ID Blue Cross

10226021 (KS)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Melanie Knight , APRN, NP

Nurse Practitioner

NPI 1386835718

Advanced Practice Registered Nurse, Nurse Practitioner

Dr. Bradley Storm , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1457332454

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

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Updated Practice Location August 03, 2011

Registered at 20375 W 151ST ST, SUITE 370, OLATHE, KS 66061 (Tel: 9137820707)

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Updated Business Mailing Address August 03, 2011

Registered at 20375 W 151ST ST, SUITE 370, OLATHE, KS 66061 (Tel: 9137820707)

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Provider Name / Credentials Updated August 03, 2011

Recorded as JOHN MOORE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2011

Surgery (License #0420320 in KS)

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NPI Profile Reactivated October 31, 2006

Record officially reactivated for active practice on October 31, 2006

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NPI Profile Deactivated November 08, 2005

Record deactivated on November 08, 2005

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Initial NPI Registration & Enumeration November 08, 2005

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: 1316928229

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 08, 2005

Last Update: August 03, 2011

Deactivation Date: November 08, 2005

Sole Proprietor: No

Update or Correct Profile

Mailing Address

20375 W 151st St, Suite 370

Olathe, KS 66061

Phone: 9137820707

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.