Timothy Richard Moore, MD - Medicare Internal Medicine in Boise, ID

Timothy Richard Moore, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Boise, Idaho. His current practice location is 500 W. Fort St., #111, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 422-1000.

Timothy Richard Moore is licensed to practice in Idaho (license number M-12911) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124064423.

Contact Information

Timothy Richard Moore, MD
500 W. Fort St., #111,
Boise, ID 83702
(208) 422-1000
(208) 422-1319

Map and Direction




Physician's Profile

Full NameTimothy Richard Moore
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location500 W. Fort St., Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124064423
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 02/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133152762
  • Enrollment ID: I20220215002246

Medical Identifiers

Medical identifiers for Timothy Richard Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124064423NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology M-12911 (Idaho)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease M-12911 (Idaho)Primary
207RC0000XInternal Medicine - Cardiovascular Disease M0189 (Texas)Secondary

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. Timothy Richard 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 AddressPractice Location Address
Timothy Richard Moore, MD
500 W Fort St # 111,
Boise, ID 83702-4501

Ph: (208) 422-1000
Timothy Richard Moore, MD
500 W. Fort St., #111,
Boise, ID 83702

Ph: (208) 422-1000

Reviews and Comments


Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD
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Phone: 757-446-8920    Fax: 757-446-5242
Dr. James Robert Polk, MD
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Phone: 208-367-3104    
Dr. Michael Frederic Krug, M.D.
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Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-5015    Fax: 208-381-1873
Derrel V Walker, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 208-367-7350    Fax: 208-367-3951
Dr. Janat E. O'donnell, MD
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Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St., # 111, Boise, ID 83702
Phone: 208-422-1325    Fax: 208-422-1319
Carl L Durning, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 6094 W Emerald St, Boise, ID 83704
Phone: 208-367-6575    Fax: 208-367-6597
Dr. Christopher J Goulet, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 6259 W Emerald St, Boise, ID 83704
Phone: 208-489-1900    Fax: 208-375-5286

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.