NICHOLAS MOORE M.D.
NPI 1073875928
Family Medicine in Saint Charles, MO

Q: What is Nicholas Moore's NPI number?

The NPI number for Nicholas Moore is 1073875928. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Q: What is Nicholas Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Moore was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 15, 2012PECOS EnrolledAccepts Medicare Assignment

1475 KISKER RD STE 200, SAINT CHARLES, MO 63304(636) 498-5810 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicholas Moore M.d. NPPES

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

NICHOLAS MOORE M.D. (NPI 1073875928) is an individual family medicine provider in Saint Charles, Missouri, licensed in Missouri (2012017826) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains a secondary practice location in St. Louis.

NPPES Registry Identity

NPI1073875928

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNICHOLAS MOORECredential: M.D.

Location Address1475 KISKER RD STE 200Saint Charles, MO 63304-8788

Mailing AddressPo Box 955534Saint Louis, MO 63195-5534

Phone(636) 498-5810

Sole ProprietorYes

Medical School CMSSaint Louis University School Of MedicineGraduated 2012

Enumeration DateJune 15, 2012

Last NPPES UpdateNovember 4, 2020

NPPES CertifiedNovember 4, 2020

✔ NPI 1073875928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2012017826

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1475 KISKER RD STE 200, Saint Charles, MO 63304

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Secondary Practice Location 1

Location 1615 South New Ballas, Department of Family MedicineSt. Louis, MO 63141 · Phone (314) 251-8950 · Fax (314) 251-8889

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Nicholas 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 ID5395965891

PECOS Enrollment IDI20150731014238

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 6

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 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.

536 services327 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

264 services264 patients

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.

51 services47 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

31 services31 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

17 services17 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

14 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260005

Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County

Emergency services

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260108

Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County

Emergency services Birthing friendly

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260191

Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County

Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260200

Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63304 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

20 suppliers53 claims133 services$5.43 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers26 claims36 services$1.01 avg. paid by Medicare

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

1 supplier14 claims14 services$3.23 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers18 claims360 services$4.64 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390

DME-Orthotic Devices · category DF010N

1 supplier14 claims215 services$8.90 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims600 services$0.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ALANTE Q GHANNAM FNP

Nurse Practitioner (Family)