Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody Moore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720547862

Cody Moore is an Emergency Medicine in Dillon, Montana. Graduated from University of Washington School of Medicine in 2019, 7 years ago. Practices with Clark Fork Emergency Physicians PLLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
7
Trained at
University of Washington School of Medicine
Licensed in
MT
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

600 Mt Highway 91 S
Dillon, MT 59725-7379
Phone: (140) 668-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Center Dr, Morgantown, WV 26506-1200 — (304) 293-2436

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 112405 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720547862
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing address1 Medical Center Dr, Morgantown, WV 26506-1200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Clark Fork Emergency Physicians Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dillon