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Active NPI 1417156142 Individual Practitioner Male Practitioner

Dr. Eric T Moore , MD

Emergency Medicine • Summit, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eric Moore, MD is a certified Emergency Medicine practicing in Summit, WI. With approximately 19 years of clinical experience since graduating from Medical College Of Wisconsin in 2007, Dr. Moore delivers high-quality medical care to the local community at 36500 AURORA DR.

Dr. Moore maintains professional affiliations with Moundview Memorial Hospital And Clinics, Inc., Mile Bluff Medical Center Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624341000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Summit, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs -3.0 yrs vs City Avg
City Avg: 22.0 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Summit, WI (1497 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (19 Years) 19 Yrs
Summit Specialty Average (22.0 Years) 22.0 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
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
85 70 $31.86 $7.87
99283 Emergency department visit with low level of medical decision making
53 47 $798.02 $67.08
99285 Emergency department visit for life threatening or functioning severity
34 33 $1840.50 $168.45
99284 Emergency department visit with moderate level of medical decision making
33 33 $1252.28 $112.90
99282 Emergency department visit with straightforward medical decision making
11 11 $365.45 $40.00

Medical Specialties & State Licenses

CMS Verified: 2024-09-10
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License WI 60232

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License ME 018291

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
100030839 (WI)

Hospital & Practice Group Affiliations

Moundview Memorial Hospital And Clinics, Inc.

402 W Lake St, Friendship, WI 539349699

Phone: 6083393331

Mile Bluff Medical Center Inc

1050 Division St, Mauston, WI 539481931

Phone: 6088476161

Secondary Practice Locations

1836 South Ave

La Crosse, WI 546015429

Phone: 6087827300

Practice Associates & Co-Workers

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

40 Associated Practitioners
Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625
Kody Lewis , PA-C

Physician Assistant

NPI 1013144393

Physician Assistant (Certified)

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Kelly Campbell , ANP-BC

Nurse Practitioner

NPI 1023395118

ANPBC

Dr. Brett Mclachlan , MD

Emergency Medicine

NPI 1023452661

Doctor of Medicine (M.D.)

Lea Van Heule , CAA

Anesthesiologist Assistant

NPI 1023658549

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 25, 2024

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

📍
Updated Business Mailing Address March 25, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8200326225)

📍
Updated Practice Location December 08, 2023

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

📍
Updated Business Mailing Address December 08, 2023

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

NPI Profile Active February 08, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2011

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077950111)

📍
Updated Business Mailing Address February 08, 2011

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077950111)

👤
Provider Name / Credentials Updated February 08, 2011

Recorded as ERIC MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2011

Emergency Medicine (License #018291 in ME)

🟢
Initial NPI Registration & Enumeration July 12, 2007

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: 1417156142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2007
Last Update: September 10, 2024
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8200326225

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.