Courtney Leigh Moore, DO
NPI 1720572449ActiveIndividual· Family Medicine· Chisago City, MN
Family Medicine (DO) in Chisago City, Minnesota, trained at Campbell Univ School of Osteopathic Medicine (class of 2018). Their prescriptions cost Medicare Part D more than their services did: $224,961 for 2,853 claims, against $34,837 paid for services in 2024.
Overview
| NPI | 1720572449 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 16, 2018 |
| Last updated in NPPES | Jul 30, 2021 |
| Certified by provider | Jul 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 69484 | MN |
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 (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 137 |
|---|---|
| Services billed | 1,061 across 101 procedure codes |
| Paid by Medicare | $34,837 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,853 · 6,110 30-day fills |
|---|---|
| Patients | 293 |
| Total drug cost | $224,961 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Campbell Univ School of Osteopathic Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Fairview ClinicsEagan, MN · 782 clinicians
Hospital affiliations
- Fairview Lakes Health ServicesWyoming, MN
- M Health Fairview St John's HospitalMaplewood, MN
- M Health Fairview University of Mn Medical CenterMinneapolis, MN
Other facilities
- Accentcare Fairview Home Health - West, LLCHome health agency · Saint Paul, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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