WESLEY S MOORE MD
NPI 1053335133
Surgery - Vascular Surgery in Los Angeles, CA

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
91.36/100
CMS Quality Rating
200 UCLA MEDICAL PLZ STE 526, LOS ANGELES, CA 90095(310) 267-0172(310) 725-4037 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wesley S Moore Md NPPES

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

WESLEY S MOORE MD (NPI 1053335133) is an individual vascular surgery provider in Los Angeles, California, licensed in California (A19266) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1958).

NPPES Registry Identity

NPI1053335133
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameWESLEY S MOORECredential: MD
Location Address200 UCLA MEDICAL PLZ STE 526Los Angeles, CA 90095-6908
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(310) 725-4037
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1958
Enumeration DateJuly 26, 2006
Last NPPES UpdateDecember 20, 2019
NPI 1053335133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · A19266
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
200 UCLA MEDICAL PLZ STE 526, Los Angeles, CA 90095

Other Identifiers 3

OtherP00168682CA · Medicare Pin
Other00A19266CA · Blue Shield
OtherA19266CA · Blue Cross

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

Wesley S 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 ID42272205
PECOS Enrollment IDI20041029000775
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.

Areas of Expertise CMS Part B claims 3

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.
184 services145 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 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.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

91.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.39
Promoting Interoperability100
Improvement Activities40
Cost55.53

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.

Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Nurse Practitioner (Acute Care)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Surgery (Vascular Surgery)
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095
Nurse Practitioner
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095

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 Wesley Moore's NPI number?

The NPI number for Wesley Moore is 1053335133. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Wesley Moore located?

Wesley Moore practices at 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095. The listed phone number is (310) 267-0172.

What is Wesley Moore's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Wesley Moore enrolled in Medicare?

Yes. Wesley 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.

When was this NPI record last updated?

The NPPES record for Wesley Moore was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.