JOHN WILLIAM MOORE D.O.
NPI 1235163668
Family Medicine in Chincoteague Island, VA
About John William Moore D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN WILLIAM MOORE D.O. (NPI 1235163668) is an individual family medicine provider in Chincoteague Island, Virginia, licensed in North Carolina (9801401) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Southport.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John William Moore D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chantilly, VA 20151
- Reassigned Medicare billing, Virginia enrollment
- 229 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHINCOTEAGUE ISLAND, VA 23336
CHINCOTEAGUE ISLAND, VA 23336
CHINCOTEAGUE, VA 23336
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 1235163668. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is John Moore located?
John Moore practices at 4049 Main St, Chincoteague Island, VA 23336. The listed phone number is (757) 336-3682.
What is John Moore's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Moore enrolled in Medicare?
Yes. John Moore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Moore reassigns Medicare benefits to Inova Physician Partners, LLC (Chantilly, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Moore was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# John William Moore, D.O. · NPI 1235163668
Family Medicine physician in Chincoteague Island, Virginia. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1235163668 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 9801401 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4049 MAIN ST, Chincoteague Island, VA 23336-2406
- **Phone:** (757) 336-3682
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Inova Physician Partners, LLC (NPI 1215264916, Chantilly, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2021
- **Other identifiers:** Medicaid 891166L (NC); Other 1166L (NC); Medicaid 343893A (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1235163668) · Data from the CMS NPPES public registry.