DR. KEVIN JOSEPH MOORE MD, MPH
NPI 1164927042
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment
55 FRUIT ST # BH616, BOSTON, MA 02114(774) 571-2568 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2020, Mar 24, 2018 (2 updates tracked since 2018).

About Dr. Kevin Joseph Moore Md, Mph NPPES

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

DR. KEVIN JOSEPH MOORE MD, MPH (NPI 1164927042) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (278727) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2018).

NPPES Registry Identity

NPI1164927042
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KEVIN JOSEPH MOORECredential: MD, MPH
Location Address55 FRUIT ST # BH616Boston, MA 02114-2621
Mailing Address55 Fruit St # Bh616Boston, MA 02114-2621 · (617) 726-5254
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2018
Enumeration DateMarch 24, 2018
Last NPPES UpdateJanuary 6, 20202 updates tracked since enumeration
NPI 1164927042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MA · 278727
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 FRUIT ST # BH616, Boston, MA 02114

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. Kevin Joseph Moore Md, Mph 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 ID6204163330
PECOS Enrollment IDI20230815004243
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 33

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 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.
395 services275 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
376 services312 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
311 services242 patients
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313
This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.
205 services163 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
152 services45 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
146 services120 patients

Hospital Affiliations CMS Care Compare

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

Student in an Organized Health Care Education/Training Program
55 FRUIT ST # BH616
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
55 FRUIT ST # BH616
BOSTON, MA 02114
Dermatology
55 FRUIT ST # BH616
BOSTON, MA 02114

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 Kevin Moore's NPI number?

The NPI number for Kevin Moore is 1164927042. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Kevin Moore located?

Kevin Moore practices at 55 Fruit St # Bh616, Boston, MA 02114. The listed phone number is (774) 571-2568.

What is Kevin Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Moore enrolled in Medicare?

Yes. Kevin 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 Kevin Moore accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevin 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 Kevin Moore affiliated with any hospitals?

According to CMS data, Kevin Moore is affiliated with Cape Cod Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Moore was last updated on January 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.