Doctor profile · Federal record
Dr. Mary Moore, CNP
Family Nurse Practitioner · Family Nurse Practitioner · Minot Afb, ND
- NPI 1689077927
- MIPS 94.6 / 100 · 2023
- 12 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
10 Missile Ave
Minot Afb, ND 587055003
(701) 723-5190
fax (701) 723-5391 - Additional location
-
350 S 40Th St
Muskogee, OK 744014915
(918) 683-0753
fax (918) 683-5677 - Mailing address
-
130 River RD Apt E207
Muscle Shoals, AL 356611338
Credentials & registration
- NPI registered
- October 2014 — 12 yrs on file
- Profile last updated
- November 6, 2023
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (2)
- Alabama #1-117717 · Oklahoma #114792
- Medicaid
- OK #200558940A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689077927. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
610
Distinct HCPCS
7
Medicare allowed
$13,210
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 240 | 23 | $0 | |
J0696 |
Injection, ceftriaxone sodium, per 250 mg | 112 | 24 | $1 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 88 | 75 | $69 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 62 | 56 | $98 | |
96372 |
Injection of drug or substance under skin or into muscle | 55 | 39 | $11 | |
81002 |
Urinalysis, manual test | 38 | 31 | $3 | |
87880 |
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 15 | 14 | $15 |
In context: peer comparison
Among 2 peers in Minot Afb Family Nurse Practitioner, average services per provider: 80. This provider delivers 7.6× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
173
Patients
143
Total drug cost
$1,699
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Fluticasone Propionate | Generic | 43 | 33 | $531 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 40 | 39 | $396 |
| Doxycycline Hyclate | Generic | 19 | 18 | $226 |
| Cephalexin | Generic | 18 | 18 | $93 |
| Azithromycin | Generic | 15 | 13 | $95 |
| Prednisone | Generic | 14 | 11 | $141 |
| Mupirocin | Generic | 13 | 11 | $101 |
| Amlodipine Besylate | Generic | 11 | 0 | $116 |
Frequently asked questions
What is Dr. Mary Moore's medical specialty?
Dr. Mary Moore practices Family Nurse Practitioner in Minot Afb, ND.
Where does Dr. Mary Moore practice?
Dr. Mary Moore practices at 10 Missile Ave, Minot Afb, ND 587055003. Office phone: 7017235190.
What is Dr. Mary Moore's NPI?
Dr. Mary Moore's National Provider Identifier (NPI) is 1689077927, issued by NPPES.
What procedures does Dr. Mary Moore commonly perform?
Top Medicare-reported procedures in 2023: Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100); Injection, ceftriaxone sodium, per 250 mg (HCPCS J0696); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.