Patricia A. Moore
NPI 1144229246ActiveIndividual· Podiatrist· South Bend, IN
Podiatrist in South Bend, Indiana, trained at Kent State University College of Podiatric Medicine (class of 1982). Medicare paid $33,721 for services to 389 patients in 2024.
Overview
| NPI | 1144229246 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 20, 2005 |
| Last updated in NPPES | Dec 15, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 07000521A | IN |
| Podiatrist | 213E00000X | 5901001129 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (IN); Practitioner - Podiatry (MI); Practitioner - Podiatry (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 389 |
|---|---|
| Services billed | 1,273 across 13 procedure codes |
| Paid by Medicare | $33,721 |
Education and affiliations
| Medical school | Kent State University College of Podiatric Medicine |
|---|---|
| Graduation year | 1982 |
| Medicare specialty | Podiatry |
Medical group
- Pokagon Band of Potawatomi IndiansDowagiac, MI · 9 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Podiatrist providers in South Bend
- 1932389244
- 1154838498
- 1952436776
- 1467494393
- 1629157680
- 1548255292