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Active NPI 1770849150 Individual Practitioner Male Practitioner

Dr. John Alexander Moore , DO

Emergency Medicine • Coldwater, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Moore, DO is a certified Emergency Medicine practicing in Coldwater, MI. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Moore delivers high-quality medical care to the local community at 274 E CHICAGO ST.

Dr. Moore is affiliated with Professional Emergency Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate 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

274 E Chicago St

Coldwater, MI 490362041

Telephone 5172795400
Associated Practice Facility / Clinic
🏢 Regio T Penna Md, Pc Facility NPI 1245213537

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Coldwater, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -8.8 yrs vs City Avg
City Avg: 22.8 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Coldwater, MI (3151 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (14 Years) 14 Yrs
Coldwater Specialty Average (22.8 Years) 22.8 Yrs

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
99285 Emergency department visit for life threatening or functioning severity
164 149 $1516.00 $169.90
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
135 116 $116.00 $7.71
99284 Emergency department visit with moderate level of medical decision making
38 35 $1026.00 $117.16

Medical Specialties & State Licenses

CMS Verified: 2022-11-01
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MI 5101019879

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Professional Emergency Care Pc

274 E Chicago St, Coldwater, MI 490362041

Phone: 5172795400

Secondary Practice Locations

36475 Five Mile Rd, Attn:gme Department

Livonia, MI 481541971

Phone: 4254785160

Practice Associates & Co-Workers

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

22 Associated Practitioners
Douglas Hess , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023161437

Certified Registered Nurse Anesthetist

NPI 1073882189

Doctor of Osteopathic Medicine (D.O.)

Randy Roth , CRNA

Nurse Anesthetist, Certified Registered

NPI 1104979616

Certified Registered Nurse Anesthetist

Carlo Marceau , PA

Physician Assistant

NPI 1154038222

Physician Assistant

NPI 1174589774

Doctor of Medicine (M.D.)

Kyle Archer

Nurse Practitioner - Family

NPI 1255277570

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 01, 2022

Registered at 274 E CHICAGO ST, COLDWATER, MI 490362041 (Tel: 5172795400)

📍
Updated Business Mailing Address November 01, 2022

Registered at 736 REEF DR, CANTON, MI 481870106 (Tel: 4254785160)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2022

Student in an Organized Health Care Education/Training Program

NPI Profile Active July 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2016

Registered at 36475 FIVE MILE RD, ATTN:GME DEPARTMENT, LIVONIA, MI 481541971 (Tel: 4254785160)

📍
Updated Business Mailing Address July 27, 2016

Registered at 36475 FIVE MILE RD, ATTN:GME DEPARTMENT, LIVONIA, MI 481541971 (Tel: 4254785160)

👤
Provider Name / Credentials Updated July 27, 2016

Recorded as JOHN MOORE, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2016

Emergency Medicine (License #5101019879 in MI)

🟢
Initial NPI Registration & Enumeration April 10, 2012

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: 1770849150
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2012
Last Update: November 01, 2022
Sole Proprietor: Yes

Mailing Address

736 Reef Dr

Canton, MI 481870106

Phone: 4254785160

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.