Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. GLENNDALE MOORE M.D.
NPI 1164485033
Internal Medicine - Cardiovascular Disease in Raleigh, NC

Active since April 10, 2006PECOS Enrolled
2949 NEW BERN AVE, SUITE 112-A, RALEIGH, NC 27610(919) 231-3614(919) 212-9029 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Glenndale Moore M.d. NPPES

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

DR. GLENNDALE MOORE M.D. (NPI 1164485033) is an individual cardiovascular disease provider in Raleigh, North Carolina, licensed in North Carolina (24609) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Wake Forest University School Of Medicine (1979).

NPPES Registry Identity

NPI1164485033
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. GLENNDALE MOORECredential: M.D.
Location Address2949 NEW BERN AVE, SUITE 112-ARaleigh, NC 27610-1248
Mailing AddressPo Box 28510Raleigh, NC 27611-8510 · (919) 231-3614 · Fax (919) 212-9029
Fax(919) 212-9029
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1979
Enumeration DateApril 10, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1164485033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NC · 24609
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2949 NEW BERN AVE, Raleigh, NC 27610

Accepted 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

Dr. Glenndale 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 ID1052441581
PECOS Enrollment IDI20100610000252
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.

Hospital Affiliations CMS Care Compare

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 17

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

Psychologist (Clinical)
2949 NEW BERN AVE
RALEIGH, NC 27610
Dentist (General Practice)
2949 NEW BERN AVE, SUITE 109-A
RALEIGH, NC 27610
Family Medicine (Adult Medicine)
2949 NEW BERN AVE, SUITE 108
RALEIGH, NC 27610
Community/Behavioral Health
2949 NEW BERN AVE, SUITE 112B
RALEIGH, NC 27610
Clinic/Center (Dental)
2949 NEW BERN AVE, SUITE 109A
RALEIGH, NC 27610
Community/Behavioral Health
2949 NEW BERN AVE, SUITE 110
RALEIGH, NC 27610
Counselor
2949 NEW BERN AVE, SUITE 110-B
RALEIGH, NC 27610
Counselor (Mental Health)
2949 NEW BERN AVE, SUITE 110-B
RALEIGH, NC 27610

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 Glenndale Moore's NPI number?

The NPI number for Glenndale Moore is 1164485033. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Glenndale Moore located?

Glenndale Moore practices at 2949 New Bern Ave Suite 112-A, Raleigh, NC 27610. The listed phone number is (919) 231-3614.

What is Glenndale Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Glenndale Moore enrolled in Medicare?

Yes. Glenndale 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.

What insurance does Glenndale Moore accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Glenndale Moore 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.

Is Glenndale Moore affiliated with any hospitals?

According to CMS data, Glenndale Moore is affiliated with Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Glenndale Moore was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.