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CHARLES A MOORE MD
NPI 1003816372
Internal Medicine in Middlesboro, KY

Active since July 28, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 18D0917461 · Waiver
97.4/100
CMS Quality Rating
123 N 19TH ST, SUITE 201, MIDDLESBORO, KY 40965(606) 248-0090(606) 248-8803 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles A Moore Md NPPES

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

CHARLES A MOORE MD (NPI 1003816372) is an individual internal medicine provider in Middlesboro, Kentucky, licensed in Kentucky (22757) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 10, 2028, and is affiliated with Middlesboro Arh Hospital.

NPPES Registry Identity

NPI1003816372
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHARLES A MOORECredential: MD
Location Address123 N 19TH ST, SUITE 201Middlesboro, KY 40965-2865
Mailing AddressPo Box 309Middlesboro, KY 40965-0309 · (606) 248-0090 · Fax (606) 248-8803
Phone(606) 248-0090
Fax(606) 248-8803
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1985
Enumeration DateJuly 28, 2005
Last NPPES UpdateApril 27, 2010
✔ NPI 1003816372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 22757
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
123 N 19TH ST, Middlesboro, KY 40965
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Other Identifiers 16

Other1635649000KY · Department Of Labor
Other1143KY · Cha
Other4176527TN · Tennesse Medicaid
Other1326780KY · Umwa
Medicare UPINA97371KY
Other000000251586VA · Blue Cross Of Va
Other1659551935KY · Medicare Group Npi
Medicare NSC1659551935KY
Other000000062741KY · Blue Cross Of Ky
Other006064205VA · Va Medicaid
Other110196198KY · Rail Road Medicare
Medicare ID-Type Unspecified7975KY
Medicaid64227572KY
Other000051203TN · Blue Cross Of Tennessee
Other017423400KY · Black Lung
Medicaid1003816372KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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 and accepts Medicare assignment

Charles A Moore Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901791409
PECOS Enrollment IDI20040226000049, I20100628000414
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0917461

Charles A Moore MD · Middlesboro, KY
Active · expires Feb 10, 2028
CLIA Number18D0917461
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorDr. Charles A. Moore
Laboratory Phone(606) 248-0090
Laboratory LocationCharles A Moore MD123 North 19th Street, Middlesboro, KY 40965
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
704 services190 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
477 services80 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
232 services94 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services25 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
33 services26 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
33 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Pineville Community Health Center, Inc

Acute Care Hospitals · Pineville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180154
Location850 Riverview AvenuePineville, KY 40977 · Bell County
Emergency services

Claiborne Medical Center

Acute Care Hospitals · Tazewell, TN
OwnershipGovernment - Local
CMS Certification Number440057
Location1850 Old Knoxville HighwayTazewell, TN 37879 · Claiborne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 32

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers94 claims234 services$6.15 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers14 claims14 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers64 claims82 services$1.05 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,320 services$6.76 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers21 claims420 services$5.72 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers20 claims420 services$2.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

LYNDA LYNN BROWNING ANP
Nurse Practitioner (Adult Health)
123 N 19TH ST
MIDDLESBORO, KY 40965
Bell County (606) 248-0090
DRS ROSE AND THOMAS
Surgery
123 N 19TH ST
MIDDLESBORO, KY 40965
Bell County (606) 248-7509
TIMOTHY L. GARDNER, DPM,PC
Podiatrist (Foot & Ankle Surgery)
123 N 19TH ST
MIDDLESBORO, KY 40965
Bell County (606) 248-2739
BRUCE T. WILSON,D.M.D., PSC
Dentist (Oral and Maxillofacial Surgery)
123 N 19TH ST
MIDDLESBORO, KY 40965
Bell County (606) 248-1808
MRS. MARCINIA MICHELLE BAILEY APRN
Nurse Practitioner (Family)
123 N 19TH ST, SUITE A201
MIDDLESBORO, KY 40965
Bell County (606) 248-0090
MR. ROBERT LEE THOMAS IV MD
Surgery
123 N 19TH ST, SUITE B301
MIDDLESBORO, KY 40965
Bell County (606) 248-7509
CHARLES A MOORE
Clinic/Center
123 N 19TH ST, SUITE 201
MIDDLESBORO, KY 40965
Bell County (606) 248-7630
AIMEE NICOLE BROCK A.P.R.N., F.N.P.-B.C
Nurse Practitioner (Family)
123 N 19TH ST
MIDDLESBORO, KY 40965
Bell County (606) 248-2739

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 Charles Moore's NPI number?

The NPI number for Charles Moore is 1003816372. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Charles Moore located?

Charles Moore practices at 123 N 19th St Suite 201, Middlesboro, KY 40965. The listed phone number is (606) 248-0090.

What is Charles Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Moore enrolled in Medicare?

Yes. Charles Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Charles Moore hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0917461) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charles Moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and BlueCross BlueShield of Tennessee and 1 other insurer list Charles Moore 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.

Is Charles Moore affiliated with any hospitals?

According to CMS data, Charles Moore is affiliated with Middlesboro Arh Hospital, Baptist Health Corbin, Pineville Community Health Center, Inc and Claiborne Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Moore was last updated on April 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.