Kyle Von Moore, D.O.

NPI 1154785616ActiveIndividual· Family Medicine· Salt Lake City, UT

Family Medicine (D.O.) in Salt Lake City, Utah, trained at Pacific Nw Un of Hs, Col of Osteopathic Medicine (class of 2016). Their prescriptions cost Medicare Part D more than their services did: $272,653 for 3,709 claims, against $47,175 paid for services in 2024. Braeburn Inc. was the largest of 3 companies reporting payments in 2025, $55.74 in all, mostly food and beverage.

Overview

NPI	1154785616
Status	Active
Entity type	Individual
Credential	D.O.
Sole proprietor	No
NPI issued	Apr 11, 2016
Last updated in NPPES	Jun 18, 2019

Specialties and licenses

Taxonomy	Code	License	State
Family Medicine Primary	207Q00000X	11273463-1204	UT
Family Medicine	207Q00000X	62587	MN
Psychiatry & Neurology, Addiction Medicine	2084A0401X	11273463-1204	UT

About license numbers in NPPES

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 - Family Practice (MT)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	215
Services billed	620 across 19 procedure codes
Paid by Medicare	$47,175

Part D prescriptions in 2024

Prescriptions (claims)	3,709 · 8,427 30-day fills
Patients	255
Total drug cost	$272,653
Generic share	88% of claims

Medicare sources and data years

Education and affiliations

Medical school	Pacific Nw Un of Hs, Col of Osteopathic Medicine
Graduation year	2016
Medicare specialty	Family Practice
Secondary specialties	Addiction Medicine
Telehealth	Offers telehealth