DENNIS MOORE M.D. - NPI 1053452250 - Pediatrics in Grandview, WA

Q: What is Dennis Moore's NPI number?

The NPI number for Dennis Moore is 1053452250. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Q: What is Dennis Moore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Dennis Moore was last updated on August 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dennis Moore M.d. NPPES

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

DENNIS MOORE M.D. (NPI 1053452250) is an individual pediatrics provider in Grandview, Washington, licensed in Washington (MD61499857) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053452250

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDENNIS MOORECredential: M.D.

Location Address1003 WALLACE WAYGrandview, WA 98930-8805

Mailing Address1003 Wallace WayGrandview, WA 98930-8805 · (509) 203-1080 · Fax (509) 203-1077

Phone(509) 203-1080

Fax(509) 203-1077

Sole ProprietorYes

Enumeration DateFebruary 9, 2007

Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1053452250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WA · MD61499857✔ Licensed in NV · 9907

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License NV 9907 (NV)

1003 WALLACE WAY, Grandview, WA 98930

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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)

Dennis 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98930 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Other Providers at the Same Location NPPES 7

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

PETER S PARK FNP

Nurse Practitioner