Mary Kathleen Moore, D.O.
NPI 1902837776ActiveIndividual· Emergency Medicine, Emergency Medical Services· Tahlequah, OK
Emergency Medicine, Emergency Medical Services (D.O.) in Tahlequah, Oklahoma, trained at Oklahoma State University College of Osteopathic Medicine (class of 2001). 584 Medicare patients in 2024, $68,611 paid; nearly all of their 282 Part D prescriptions were generic (97%). Penumbra, Inc. was the largest of 2 companies reporting payments in 2024, $168.43 in all, mostly food and beverage.
Overview
| NPI | 1902837776 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine, Emergency Medical Services Primary | 207PE0004X | 3976 | OK |
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 (OK); Practitioner - Emergency Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 584 |
|---|---|
| Services billed | 1,113 across 23 procedure codes |
| Paid by Medicare | $68,611 |
Part D prescriptions in 2024
| Prescriptions (claims) | 282 · 285 30-day fills |
|---|---|
| Patients | 187 |
| Total drug cost | $3,364 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | Oklahoma State University College of Osteopathic Medicine |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Emergency Medicine |
Medical group
- Northeastern Health SystemTahlequah, OK · 103 clinicians
Hospital affiliations
- Cherokee Nation W W Hastings Indian HospitalTahlequah, OK
- Northeastern Health SystemTahlequah, OK
Industry payments (Open Payments)
- 2024$168.43 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $137.50 | 1 |
| Janssen Pharmaceuticals, Inc | $30.93 | 1 |
What the 2024 payments were for
- Food and Beverage$168.43 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records