Doctor profile · Federal record

Dr. TIMOTHY MOORE, MD

Cardiovascular Disease Physician · Interventional Cardiology Physician · Cardiovascular Disease Physician · BOISE, ID

  • NPI 1124064423
  • 20 yrs on file
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
500 W. FORT ST., #111
BOISE, ID 83702
(208) 422-1000
fax (208) 422-1319
Mailing address
500 W FORT ST # 111
BOISE, ID 837024501

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
February 15, 2022
Specialty taxonomy
207RC0000X — NUCC code
State licenses (2)
Idaho #M-12911 · Texas #M0189

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1124064423. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$179
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Abbott Laboratories 1 $179.42

By nature of payment

Food and Beverage
$179

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 17, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›