Allen Kristopher Moore, MD is a medicare enrolled "Orthopaedic Surgery" physician in Newberg, Oregon. He went to Loma Linda University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Providence Health And Services Oregon and his current practice location is
1003 Providence Dr, Suite 210, Newberg, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 537-5900.
Allen Kristopher Moore is licensed to practice in Oregon (license number MD28644) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174662167.
Physician's Profile
Full Name | Allen Kristopher Moore |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 21 Years |
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Location | 1003 Providence Dr, Newberg, Oregon |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Allen Kristopher Moore attended and graduated from Loma Linda University School Of Medicine in 2003
NPI Data:
- NPI Number: 1174662167
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 10/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 5496800526
- Enrollment ID: I20090826000116
Medical Identifiers
Medical identifiers for Allen Kristopher Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174662167 | NPI | - | NPPES |
500607170 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 2003-0224 (New Mexico) | Secondary |
207X00000X | Orthopaedic Surgery | MD28644 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Providence Health And Services Oregon | 0648183608 | 1344 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Allen Kristopher Moore allows following entities to bill medicare on his behalf.
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
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Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Allen Kristopher Moore is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Allen Kristopher Moore, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Allen Kristopher Moore, MD 1003 Providence Dr, Suite 210, Newberg, OR 97132-7521 Ph: (503) 537-5900 |
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