Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FREDERICK STEPHEN MOORE MD
NPI 1104876440
Internal Medicine - Gastroenterology in Gainesville, GA

Q: What is Frederick Moore's NPI number?

The NPI number for Frederick Moore is 1104876440. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Q: What is Frederick Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Frederick Moore was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 May 10, 2006PECOS Enrolled

2324 LIMESTONE OVERLOOK, GAINESVILLE, GA 30501(770) 536-8109(770) 536-3203 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Frederick Stephen Moore Md NPPES

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

FREDERICK STEPHEN MOORE MD (NPI 1104876440) is an individual gastroenterology provider in Gainesville, Georgia, licensed in Georgia (022254) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and maintains a secondary practice location in Great Falls.

NPPES Registry Identity

NPI1104876440

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameFREDERICK STEPHEN MOORECredential: MD

Location Address2324 LIMESTONE OVERLOOKGainesville, GA 30501-7443

Mailing AddressPo Box 907790Gainesville, GA 30501-0912 · (770) 536-8109 · Fax (770) 536-3203

Phone(770) 536-8109

Fax(770) 536-3203

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1976

Enumeration DateMay 10, 2006

Last NPPES UpdateSeptember 29, 2026

NPPES CertifiedOctober 15, 2025

✔ NPI 1104876440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in GA · 022254✔ Licensed in MT · 164074

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 022254 (GA)

2324 LIMESTONE OVERLOOK, Gainesville, GA 30501

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Secondary Practice Location 1

Location 12800 11th Ave S Ste 12Great Falls, MT 59405-5263 · Phone (406) 731-8360

Other Identifiers 1

Medicaid000224738AGA

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

Frederick Stephen 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 ID1850347840

PECOS Enrollment IDI20190123000572

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 4

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.

101 services92 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

47 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

15 services15 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200033

Location489 State StreetBangor, ME 04401 · Penobscot County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 20

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

NAMITA PAREEK MD

Internal Medicine (Gastroenterology)