Mark Owen Moore, M.D.
NPI 1821261918ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Boise, ID
Pathology, Anatomic Pathology & Clinical Pathology (M.D.) in Boise, Idaho, trained at University of Washington School of Medicine (class of 2005). Medicare paid $46,736 for services to 667 patients in 2024.
Overview
| NPI | 1821261918 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 9, 2008 |
| Last updated in NPPES | Aug 19, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | M-12018 | ID |
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 - Pathology (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 667 |
|---|---|
| Services billed | 1,723 across 29 procedure codes |
| Paid by Medicare | $46,736 |
Education and affiliations
| Medical school | University of Washington School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Pathology |
Medical group
- Saint Alphonsus Regional Medical Center IncBoise, ID · 680 clinicians
Hospital affiliations
- Saint Alphonsus Medical Center - NampaNampa, ID
- Saint Alphonsus Medical Center OntarioOntario, OR
- Saint Alphonsus Regional Medical CenterBoise, ID
- St. Alphonsus Medical Center - Baker CityBaker City, OR
- Treasure Valley HospitalBoise, ID
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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