Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720143084 Individual Practitioner Male Practitioner

Dr. Michael S Moore , MD

Emergency Medicine • Antigo, WI

Professional Overview & Biography Verified Profile Summary

Dr. Michael Moore, MD is a registered healthcare professional specializing in Emergency Medicine in Antigo, WI. Practice services are available at 112 E 5TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

112 E 5th Ave

Antigo, WI 544092710

Telephone 7156232331
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Antigo, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Antigo, WI (1497 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.9% 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
99285 Emergency department visit for life threatening or functioning severity
218 179 $1270.12 $178.79
99284 Emergency department visit with moderate level of medical decision making
110 96 $871.51 $123.73
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
49 45 $61.08 $8.07

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License WI 41388

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
34046400 (WI)

Practice Associates & Co-Workers

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

21 Associated Practitioners
Dr. Justin Bal , DPT

Physical Therapist

NPI 1003761198

Doctor of Physical Therapy

Annika Fox , MS, CF-SLP

Speech-Language Pathologist

NPI 1033994702

Master of Science, Clinical Fellow in Speech-Language Pathology

Angela Filbrandt-Sheldon

Nurse Practitioner - Family

NPI 1194591628
Kathleen Sislo , RDN, CD

Dietitian, Registered - Nutrition, Renal

NPI 1205430394

Registered Dietitian Nutritionist, CD

Hannah Basler

Registered Nurse

NPI 1205781077
NPI 1235499815

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 112 E 5TH AVE, ANTIGO, WI 544092710 (Tel: 7156232331)

📍
Updated Business Mailing Address July 08, 2007

Registered at 112 E 5TH AVE, ANTIGO, WI 544092710 (Tel: 7156232331)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #41388 in WI)

🟢
Initial NPI Registration & Enumeration December 27, 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: 1720143084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

112 E 5th Ave

Antigo, WI 544092710

Phone: 7156232331

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.