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EDWARD M MOORE M.D.
NPI 1013009216
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since September 28, 2006PECOS Enrolled
561 FAIRTHORNE AVE, PHILADELPHIA, PA 19128(215) 487-4071(215) 483-8187 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edward M Moore M.d. NPPES

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

EDWARD M MOORE M.D. (NPI 1013009216) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD048178L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013009216
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameEDWARD M MOORECredential: M.D.
Location Address561 FAIRTHORNE AVEPhiladelphia, PA 19128-2412
Mailing Address1 Golf View DrVoorhees, NJ 08043-1428 · (856) 795-5114
Phone(215) 487-4071
Fax(215) 483-8187
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013009216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD048178L
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
561 FAIRTHORNE AVE, Philadelphia, PA 19128
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Other Identifiers 3

Medicaid001571971PA
Medicare UPING18203PA
Medicare ID-Type Unspecified431221PA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward M Moore M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Edward Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eastern Pennsylvania Physician Alliance LLC
233 mi
Neurology
2 HOSPITAL DR
Clarion, PA 16214
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 142 clinicians in this Medicare group
NPI 1902440621 (814) 226-9545

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19128 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

SCOTT DENNIS DUNZIK M.D.
Psychiatry & Neurology (Psychiatry)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4032
DR. JOSEPH YI M.D.
Psychiatry & Neurology (Psychiatry)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (732) 221-5700
MR. BERNARD JOHN STUETZ P.A.-C
Physician Assistant (Medical)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4000
CHRISTINE SLOAN CRNP
Nurse Practitioner (Family)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4000
AYESHA NICOLE LOGAN CRNP
Nurse Practitioner (Psychiatric/Mental Health)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4000
THAMBIPILLAI SURESHKUMAR M.D.
Psychiatry & Neurology (Psychiatry)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4147
TRICIA M. ANGILLETTA PSYD, LPC, ATR-BC
Psychologist (Clinical)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4196
NADIA ZANDY CRNP
Nurse Practitioner (Psychiatric/Mental Health)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4000

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 Edward Moore's NPI number?

The NPI number for Edward Moore is 1013009216. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Edward Moore located?

Edward Moore practices at 561 Fairthorne Ave, Philadelphia, PA 19128. The listed phone number is (215) 487-4071.

What is Edward Moore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Edward Moore enrolled in Medicare?

Yes. Edward Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Moore reassigns Medicare benefits to Eastern Pennsylvania Physician Alliance LLC (Clarion, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Moore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Edward 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.

When was this NPI record last updated?

The NPPES record for Edward Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.