MR. MATTHEW MORGAN MOAKE
NPI 1073958120
Pediatrics - Pediatric Emergency Medicine in Charleston, SC
About Mr. Matthew Morgan Moake NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MATTHEW MORGAN MOAKE (NPI 1073958120) is an individual pediatric emergency medicine provider in Charleston, South Carolina, licensed in South Carolina (39233) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Matthew Morgan Moake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Matthew Moake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- 2,594 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
CHARLESTON, SC 29425
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 Matthew Moake's NPI number?
The NPI number for Matthew Moake is 1073958120. It was assigned to this individual provider in the NPPES registry on May 2, 2013.
Where is Matthew Moake located?
Matthew Moake practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-0269.
What is Matthew Moake's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Matthew Moake enrolled in Medicare?
Yes. Matthew Moake is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Matthew Moake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Moake reassigns Medicare benefits to University Medical Associates Of The Medical University Of South Carol (Charleston, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Moake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Moake accept?
Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Matthew Moake 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 Matthew Moake was last updated on December 14, 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.
# Mr. Matthew Morgan Moake · NPI 1073958120
Pediatric Emergency Medicine physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since May 2, 2013.
## Identity
- **NPI:** 1073958120 (Entity type: Individual)
- **Enumerated:** May 2, 2013
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 39233 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 ASHLEY AVE, Charleston, SC 29425-2106
- **Phone:** (843) 792-0269
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Medical Associates Of The Medical University Of South Carol (NPI 1013934629, Charleston, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2020
- **Other identifiers:** Other 39233 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1073958120) · Data from the CMS NPPES public registry.