JOHN DAVIS MOORE M.D.
NPI 1164491379
Anesthesiology - Pediatric Anesthesiology in Greenville, SC

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615(864) 522-3700(864) 522-3705 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 22, 2022, Oct 15, 2020, Jul 18, 2019 (3 updates tracked since 2019).

About John Davis Moore M.d. NPPES

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

JOHN DAVIS MOORE M.D. (NPI 1164491379) is an individual pediatric anesthesiology provider in Greenville, South Carolina, licensed in South Carolina (88397) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1164491379
Entity TypeIndividualMale
Primary Taxonomy207LP3000X
Provider Legal NameJOHN DAVIS MOORECredential: M.D.
Location Address7 INDEPENDENCE PT STE 300Greenville, SC 29615-4569
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Fax(864) 522-3705
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2004
Enumeration DateMarch 17, 2006
Last NPPES UpdateSeptember 22, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1164491379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
Licenses✔ Licensed in SC · 88397✔ Licensed in TN · 58651✔ Licensed in CA · A119480
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
7 INDEPENDENCE PT STE 300, Greenville, SC 29615

Secondary Practice Location 1

Location 13601 The Vanderbilt ClinicNashville, TN 37232-6440 · Phone (615) 322-3000

Other Identifiers 1

MedicaidPENDINGSC

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

John Davis 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 ID6002047891
PECOS Enrollment IDI20221104001216
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 5

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

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420009
Location298 Memorial DrSeneca, SC 29672 · Oconee County
Emergency services Birthing friendly

Prisma Health Baptist Easley Hospital

Acute Care Hospitals · Easley, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420015
Location200 Fleetwood DriveEasley, SC 29640 · Pickens County
Emergency services

Prisma Health Greer Memorial Hospital

Acute Care Hospitals · Spartanburg, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420033
Location1413 John B White Sr Blvd Suite DSpartanburg, SC 29306 · Spartanburg County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Prisma Health Patewood Hospital

Acute Care Hospitals · Greenville, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420102
Location175 Patewood DriveGreenville, SC 29615 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 20

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

Nurse Anesthetist, Certified Registered
7 INDEPENDENCE PT STE 300
GREENVILLE, SC 29615
Nurse Anesthetist, Certified Registered
7 INDEPENDENCE PT STE 300
GREENVILLE, SC 29615
Nurse Anesthetist, Certified Registered
7 INDEPENDENCE PT STE 300
GREENVILLE, SC 29615
Nurse Anesthetist, Certified Registered
7 INDEPENDENCE PT STE 300
GREENVILLE, SC 29615
Nurse Anesthetist, Certified Registered
7 INDEPENDENCE PT STE 300
GREENVILLE, SC 29615
Nurse Anesthetist, Certified Registered
7 INDEPENDENCE PT STE 300
GREENVILLE, SC 29615
Nurse Anesthetist, Certified Registered
7 INDEPENDENCE PT STE 300
GREENVILLE, SC 29615
Nurse Anesthetist, Certified Registered
7 INDEPENDENCE PT STE 300
GREENVILLE, SC 29615

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 John Moore's NPI number?

The NPI number for John Moore is 1164491379. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is John Moore located?

John Moore practices at 7 Independence Pt Ste 300, Greenville, SC 29615. The listed phone number is (864) 522-3700.

What is John Moore's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is John Moore enrolled in Medicare?

Yes. John 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 John Moore accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list John 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 John Moore affiliated with any hospitals?

According to CMS data, John Moore is affiliated with Prisma Health Oconee Memorial Hospital, Prisma Health Baptist Easley Hospital, Prisma Health Greer Memorial Hospital, Prisma Health Greenville Memorial Hospital and Prisma Health Patewood Hospital.

When was this NPI record last updated?

The NPPES record for John Moore was last updated on September 22, 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.