Doctor profile · Federal record
Dr. Mary Ellen Moore, D.O.
Family Medicine Physician (CMS: Family Practice) · Oak Lawn, IL
- NPI 1730434879
- Accepts Medicare
- 14 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4301 W 95Th St Ste 1
Oak Lawn, IL 604532698
(708) 425-5500
fax (708) 425-0771 - Mailing address
-
4140 Southwest Hwy
Hometown, IL 604561135
Credentials & registration
- NPI registered
- July 2012 — 14 yrs on file
- Profile last updated
- December 28, 2021
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Illinois #125.061971
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1730434879. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,521
Distinct HCPCS
10
Medicare allowed
$113,164
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 317 | 176 | $132 | |
36415 |
Insertion of needle into vein for collection of blood sample | 189 | 120 | $8 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 116 | 116 | $134 | |
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 77 | 46 | $65 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 69 | 22 | $125 | |
G0008 |
Administration of influenza virus vaccine | 62 | 62 | $32 | |
90662 |
Influenza vaccine split virus, preservative free | 57 | 57 | $72 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 51 | 40 | $92 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 51 | 36 | $187 | |
G0442 |
Annual alcohol misuse screening, 5 to 15 minutes | 37 | 37 | $19 |
In context: peer comparison
Among 13 peers in this city , average services per provider: 140. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$1,023
Transactions
50
Manufacturers
12
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 10 | $164.20 | |
| Lilly USA, LLC | 8 | $159.57 | |
| Novo Nordisk Inc | 6 | $127.69 | |
| Otsuka America Pharmaceutical, Inc. | 5 | $117.45 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 4 | $110.82 | |
| Amgen Inc. | 5 | $95.98 | |
| ABBVIE INC. | 4 | $91.85 | |
| Astellas Pharma US Inc | 3 | $52.43 | |
| Janssen Pharmaceuticals, Inc | 2 | $39.72 | |
| Abbott Laboratories | 1 | $23.62 | |
| Phathom Pharmaceuticals, Inc. | 1 | $19.85 | |
| GlaxoSmithKline, LLC. | 1 | $19.43 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,762
Patients
471
Total drug cost
$23,820
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 275 | 88 | $4,366 |
| Amlodipine Besylate | Generic | 232 | 52 | $2,115 |
| Levothyroxine Sodium | Generic | 179 | 42 | $3,247 |
| Lisinopril | Generic | 148 | 43 | $1,624 |
| Metoprolol Succinate | Generic | 119 | 35 | $2,738 |
| Pantoprazole Sodium | Generic | 111 | 32 | $2,014 |
| Losartan Potassium | Generic | 97 | 31 | $1,631 |
| Furosemide | Generic | 84 | 32 | $652 |
| Meloxicam | Generic | 79 | 0 | $488 |
| Simvastatin | Generic | 79 | 16 | $743 |
Hospital affiliations
Frequently asked questions
What is Dr. Mary Ellen Moore's medical specialty?
Dr. Mary Ellen Moore practices Family Medicine Physician in Oak Lawn, IL.
Where does Dr. Mary Ellen Moore practice?
Dr. Mary Ellen Moore practices at 4301 W 95Th St Ste 1, Oak Lawn, IL 604532698. Office phone: 7084255500.
What is Dr. Mary Ellen Moore's NPI?
Dr. Mary Ellen Moore's National Provider Identifier (NPI) is 1730434879, issued by NPPES.
Does Dr. Mary Ellen Moore accept Medicare assignment?
Yes. Dr. Mary Ellen Moore accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary Ellen Moore commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.