Stephen Moore, MD
NPI 1104280478ActiveIndividual· Radiology, Diagnostic Radiology· Denver, CO
Radiology, Diagnostic Radiology (MD) in Denver, Colorado, trained at Columbia University College of Physicians and Surgeons (class of 2016). Medicare paid $71,007 for services to 1,772 patients in 2024. Change Healthcare Technologies, LLC reported $133.70 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1104280478 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 12, 2016 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Sep 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 65302 | TN |
| Radiology, Diagnostic Radiology | 2085R0202X | 0101289713 | VA |
| Radiology, Diagnostic Radiology | 2085R0202X | 29924 | MS |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Radiology, Neuroradiology, Nuclear Radiology | 2085N0904X | 65302 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (GA); Practitioner - Diagnostic Radiology (MS); Practitioner - Diagnostic Radiology (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,772 |
|---|---|
| Services billed | 2,679 across 100 procedure codes |
| Paid by Medicare | $71,007 |
Education and affiliations
| Medical school | Columbia University College of Physicians and Surgeons |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Diagnostic Radiology |
| Secondary specialties | Nuclear Medicine |
Medical groups
- Summit Imaging Services LLCDublin, GA · 75 clinicians
- Summit Radiology Services P CJasper, GA · 70 clinicians
- Memphis Radiological PCMemphis, TN · 50 clinicians
Hospital affiliations
- Methodist Hospitals of MemphisMemphis, TN
- Piedmont Henry HospitalStockbridge, GA
- Piedmont Mountainside Hospital IncJasper, GA
- Piedmont Newton HospitalCovington, GA
- Piedmont Rockdale HospitalConyers, GA
Industry payments (Open Payments)
- 2024$133.70 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Change Healthcare Technologies, LLC | $133.70 | 1 |
What the 2024 payments were for
- Food and Beverage$133.70 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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