DONNA H MOORE NP-C
NPI 1073760864
Nurse Practitioner - Primary Care in Summersville, WV

Active since August 22, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
211 MERCHANTS WALK, SUMMERSVILLE, WV 26651(304) 872-9455 Get Directions Write a Review

NPPES record last updated: October 31, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Donna H Moore Np-c NPPES

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

DONNA H MOORE NP-C (NPI 1073760864) is an individual primary care provider in Summersville, West Virginia, licensed in West Virginia (48550) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Summersville Regional Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1073760864
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDONNA H MOORECredential: NP-C
Location Address211 MERCHANTS WALKSummersville, WV 26651-1901
Mailing AddressPo Box 1049Lewisburg, WV 24901-4049 · (304) 645-4043 · Fax (304) 645-4713
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 22, 2008
Last NPPES UpdateOctober 31, 2014
NPI 1073760864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in WV · 48550
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 48550 (WV)
211 MERCHANTS WALK, Summersville, WV 26651

Other Identifiers 3

Medicare PINWV0987A760WV
Other48550WV · License
Medicaid0035222000WV

Accepted 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

Donna H Moore Np-c 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 ID941357396
PECOS Enrollment IDI20090422000157
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 2

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.
38 services27 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.
27 services22 patients

Hospital Affiliations CMS Care Compare

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

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26651 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
4 suppliers12 claims24 services$5.50 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$59.52 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers18 claims19 services$199.79 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 2

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

Family Medicine
211 MERCHANTS WALK, SHOPPING CENTER
SUMMERSVILLE, WV 26651
Family Medicine
211 MERCHANTS WALK, SHOPPING CENTER
SUMMERSVILLE, WV 26651

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 Donna Moore's NPI number?

The NPI number for Donna Moore is 1073760864. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Where is Donna Moore located?

Donna Moore practices at 211 Merchants Walk, Summersville, WV 26651. The listed phone number is (304) 872-9455.

What is Donna Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Donna Moore enrolled in Medicare?

Yes. Donna 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 Donna Moore accept?

Health plans from CareSource list Donna 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 Donna Moore affiliated with any hospitals?

According to CMS data, Donna Moore is affiliated with Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Moore was last updated on October 31, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.