Cody Moore
NPI 1720547862ActiveIndividual· Emergency Medicine· Dillon, MT
Emergency Medicine in Dillon, Montana, trained at University of Washington School of Medicine (class of 2019). 254 Medicare patients in 2024, $45,188 paid; nearly all of their 212 Part D prescriptions were generic (95%).
Overview
| NPI | 1720547862 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 18, 2019 |
| Last updated in NPPES | Jan 4, 2023 |
| Certified by provider | Jan 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 112405 | MT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Emergency Medicine (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 254 |
|---|---|
| Services billed | 425 across 26 procedure codes |
| Paid by Medicare | $45,188 |
Part D prescriptions in 2024
| Prescriptions (claims) | 212 · 215 30-day fills |
|---|---|
| Patients | 142 |
| Total drug cost | $4,125 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of Washington School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Emergency Medicine |
Medical groups
- Barrett Hospital Development CorporationDillon, MT · 29 clinicians
- Clark Fork Emergency Physicians PLLCMissoula, MT · 8 clinicians
Hospital affiliations
- Barrett Hospital & HealthcareDillon, MT
- Community Medical CenterMissoula, MT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other emergency medicine physicians in Dillon
- 1144315573
- 1316409477