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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA CLAIRE MOBERLY DMD
NPI 1003650862
Dentist in Berea, KY

Active since June 25, 2024PECOS Enrolled
104 LEGACY DR, BEREA, KY 40403(859) 986-2323 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, Jul 10, 2024, Jun 25, 2024 (3 updates tracked since 2024).

About Amanda Claire Moberly Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA CLAIRE MOBERLY DMD (NPI 1003650862) is an individual dentist in Berea, Kentucky, licensed in Kentucky (D-00144) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003650862
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameAMANDA CLAIRE MOBERLYCredential: DMD
Location Address104 LEGACY DRBerea, KY 40403-9594
Mailing Address401 Highland Park DrRichmond, KY 40475-3839 · (859) 626-7700
Phone(859) 986-2323
Sole ProprietorNo
Enumeration DateJune 25, 2024
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1003650862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in KY · D-00144
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
104 LEGACY DR, Berea, KY 40403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Claire Moberly Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTH HELP INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
COLLEEN E AMBROSE NP
Nurse Practitioner
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
LAURA A CLICK LCSW
Social Worker (Clinical)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
AUDREY GRACE TRUETT CSW
Social Worker (Clinical)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
MA JOY SANDRA BUENAFE DIONISIO M.D.
Internal Medicine
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
MS. ONEIDA SUE HELTON-PECK APRN
Nurse Practitioner (Family)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
EMILY LOUISE JONES
Dentist
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
LESLIE PAIGE ALLEN DEVERS DO
Pediatrics
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Moberly's NPI number?

The NPI number for Amanda Moberly is 1003650862. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Amanda Moberly located?

Amanda Moberly practices at 104 Legacy Dr, Berea, KY 40403. The listed phone number is (859) 986-2323.

What is Amanda Moberly's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Amanda Moberly enrolled in Medicare?

Yes. Amanda Moberly is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Moberly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 14 other insurers list Amanda Moberly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Moberly was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.