Doctor profile · Federal record

Dr. Michael Moore, M.D., P.C.

Plastic and Reconstructive Surgery Physician · Idaho Falls, ID

  • NPI 1306064860
  • 19 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2860 Channing Way, Suite 213
Idaho Falls, ID 834047531
(208) 552-1406
fax (208) 552-1416
Mailing address
Po Box 1769
Idaho Falls, ID 834031769

Credentials & registration

NPPES · NUCC
NPI registered
April 2007 — 19 yrs on file
Profile last updated
March 7, 2023
Specialty taxonomy
2086S0122X — NUCC code
State license (1)
Idaho #M-8270

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1306064860. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$126
Transactions
3
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Tela Bio, INC. 3 $126.27

By nature of payment

Food and Beverage
$126

Frequently asked questions

Auto-generated from federal data
What is Dr. Michael Moore's medical specialty?
Dr. Michael Moore practices Plastic and Reconstructive Surgery Physician in Idaho Falls, ID.
Where does Dr. Michael Moore practice?
Dr. Michael Moore practices at 2860 Channing Way, Idaho Falls, ID 834047531. Office phone: 2085521406.
What is Dr. Michael Moore's NPI?
Dr. Michael Moore's National Provider Identifier (NPI) is 1306064860, issued by NPPES.