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DR. NICHOLAS SIMMS MOORE MD
NPI 1093339491
Radiology - Radiation Oncology in New Haven, CT

Active since June 01, 2020PECOS EnrolledAccepts Medicare Assignment
35 PARK ST # LL-509, NEW HAVEN, CT 06519(203) 200-2100(203) 200-2640 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2022, Jun 15, 2021, Sep 9, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Nicholas Simms Moore Md NPPES

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

DR. NICHOLAS SIMMS MOORE MD (NPI 1093339491) is an individual radiation oncology provider in New Haven, Connecticut, licensed in Connecticut (80998) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2020).

NPPES Registry Identity

NPI1093339491
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. NICHOLAS SIMMS MOORECredential: MD
Location Address35 PARK ST # LL-509New Haven, CT 06519-1110
Mailing Address35 Park St # Ll-509New Haven, CT 06519-1110 · (203) 200-2100 · Fax (203) 200-2640
Phone(203) 200-2100
Fax(203) 200-2640
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2020
Enumeration DateJune 1, 2020
Last NPPES UpdateJuly 29, 20254 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1093339491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in CT · 80998
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
35 PARK ST # LL-509, New Haven, CT 06519
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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

Dr. Nicholas Simms 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 ID7214357235
PECOS Enrollment IDI20250614000103
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 06519 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Nicholas Moore's NPI number?

The NPI number for Nicholas Moore is 1093339491. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Nicholas Moore located?

Nicholas Moore practices at 35 Park St # Ll-509, New Haven, CT 06519. The listed phone number is (203) 200-2100.

What is Nicholas Moore's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Nicholas Moore enrolled in Medicare?

Yes. Nicholas 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 Nicholas Moore was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.