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THOMAS L MOORE MD
NPI 1124097415
Surgery in Lewiston, ME

Active since March 17, 2006PECOS Enrolled
106 CAMPUS AVE, LEWISTON, ME 04240(207) 777-8850(207) 777-8641 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2022, Feb 22, 2021, Aug 15, 2018 (3 updates tracked since 2018).

About Thomas L Moore Md NPPES

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

THOMAS L MOORE MD (NPI 1124097415) is an individual surgery provider in Lewiston, Maine, licensed in Maine (MD16954) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124097415
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHOMAS L MOORECredential: MD
Location Address106 CAMPUS AVELewiston, ME 04240-6019
Mailing AddressPo Box 7291Lewiston, ME 04243-7291 · (207) 755-3781 · Fax (207) 777-8800
Phone(207) 777-8850
Fax(207) 777-8641
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateJanuary 28, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
✔ NPI 1124097415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in ME · MD16954
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
106 CAMPUS AVE, Lewiston, ME 04240
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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 (PECOS)

Thomas L Moore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Other Providers at the Same Location NPPES

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

DR. BETTY J KENNEDY MD
Internal Medicine
106 CAMPUS AVE
LEWISTON, ME 04240
Androscoggin County (207) 755-3383

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 Thomas Moore's NPI number?

The NPI number for Thomas Moore is 1124097415. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Thomas Moore located?

Thomas Moore practices at 106 Campus Ave, Lewiston, ME 04240. The listed phone number is (207) 777-8850.

What is Thomas Moore's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thomas Moore enrolled in Medicare?

Yes. Thomas Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Moore was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.