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DR. KEVIN DALE MOORE M.D.
NPI 1023096054
Psychiatry & Neurology - Psychiatry in Stafford, VA

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
450 GARRISONVILLE RD, 109, STAFFORD, VA 22554(703) 522-2727(540) 288-3327 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2026, Aug 6, 2018, Aug 31, 2016 (3 updates tracked since 2016).

About Dr. Kevin Dale Moore M.d. NPPES

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

DR. KEVIN DALE MOORE M.D. (NPI 1023096054) is an individual psychiatry provider in Stafford, Virginia, licensed in Virginia (0101255019) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1023096054
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KEVIN DALE MOORECredential: M.D.
Location Address450 GARRISONVILLE RD, 109Stafford, VA 22554
Mailing Address34 Monument DrStafford, VA 22554-8508 · (571) 409-0161 · Fax (540) 288-3327
Phone(703) 522-2727
Fax(540) 288-3327
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 9, 2006
Last NPPES UpdateJanuary 23, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1023096054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in VA · 0101255019✔ Licensed in NC · 2014-01019✔ Licensed in KY · 28200
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.
Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License 28200 (KY)
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 28200 (KY)
450 GARRISONVILLE RD, Stafford, VA 22554
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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 Health, Ambetter Health of Delaware 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

Dr. Kevin Dale Moore M.d. 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 ID4688804289
PECOS Enrollment IDI20160928000861, I20181130000437
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 22554 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 6

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

SEBASTIAN M BOURONCLE DDS-2 STAFFORD PLLC
Dentist (General Practice)
450 GARRISONVILLE RD, SUITE# 201
STAFFORD, VA 22554
Stafford County (540) 720-1222
DR. CAROLINA MARIA HERNANDEZ MD
Internal Medicine
450 GARRISONVILLE RD, SUITE 215
STAFFORD, VA 22554
Stafford County (540) 318-8167
ADVANCED SPINE AND PAIN CENTERS, PLLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
450 GARRISONVILLE RD, SUITE 109
STAFFORD, VA 22554
Stafford County (703) 522-2727
MR. JAMES HUANG MD
Physical Medicine & Rehabilitation (Pain Medicine)
450 GARRISONVILLE RD, 109
STAFFORD, VA 22554
Stafford County (703) 522-2727
DR. THOMAS J RALEY MD
Orthopaedic Surgery
450 GARRISONVILLE RD, SUITE 109
STAFFORD, VA 22554
Stafford County (703) 522-2727
MRS. GALADRIEL LEA PASTOR PA-C
Physician Assistant
450 GARRISONVILLE RD, SUITE 109
STAFFORD, VA 22554
Stafford County (703) 522-2727

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 Kevin Moore's NPI number?

The NPI number for Kevin Moore is 1023096054. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Kevin Moore located?

Kevin Moore practices at 450 Garrisonville Rd 109, Stafford, VA 22554. The listed phone number is (703) 522-2727.

What is Kevin Moore's specialty?

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

Is Kevin Moore enrolled in Medicare?

Yes. Kevin 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.

What insurance does Kevin Moore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Providence Health Plan list Kevin 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 Kevin Moore was last updated on January 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.