COLLEEN JOHNSON MOORE M.D. NPI 1801877923

NPI Information

  • NPI: 1801877923
  • Provider Name: COLLEEN JOHNSON MOORE, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 21 DOCTORS PARK STE A
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Phone: (217) 788-0706

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NPI Details

Colleen Johnson Moore, M.D. is a vascular surgery surgery in Cape Girardeau, MO with 29 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Colleen Johnson Moore, M.D. NPI is 1801877923. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

21 DOCTORS PARK STE A
CAPE GIRARDEAU, MO
ZIP 63703-927
Phone: (217) 788-0706
Fax: (217) 525-2535

The NPI 1801877923 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound of leg arteries at rest and after exercise (HCPCS:93924)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93979)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • Ultrasound of one arm arteries or artery grafts (HCPCS:93931)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 11/7/2005 and was last updated on 7/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery2004001641MISSOURINo
22086S0129XSurgeryVascular Surgery036113689ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036113689MEDICAIDILLINOIS
2F400526418OTHERILLINOISMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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