MARK K MOORE MD
NPI 1255445458
Obstetrics & Gynecology in Waco, TX

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
74.33/100
CMS Quality Rating
601 W HWY 6, 101, WACO, TX 76710(254) 772-5454(254) 772-6464 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark K Moore Md NPPES

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

MARK K MOORE MD (NPI 1255445458) is an individual obstetrics & gynecology provider in Waco, Texas, licensed in Texas (J9911) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1994).

NPPES Registry Identity

NPI1255445458
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMARK K MOORECredential: MD
Location Address601 W HWY 6, 101Waco, TX 76710-5575
Mailing AddressPo Box 18962Belfast, ME 04915-4084 · (800) 566-5050 · Fax (254) 537-6869
Fax(254) 772-6464
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1994
Enumeration DateAugust 18, 2006
Last NPPES UpdateJanuary 6, 2017
NPI 1255445458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · J9911
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

601 W HWY 6, Waco, TX 76710

Other Identifiers 3

Medicare ID-Type Unspecified8C0859TX
Medicaid037091803TX
Medicare UPING70402TX

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

Mark K Moore Md 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 ID9335110253
PECOS Enrollment IDI20040805001161
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 2

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, 20-29 minutes 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.
15 services12 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76710 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.69
Promoting Interoperability100
Improvement Activities40
Cost41.75

Reported Quality Measures

Advance Care Plan
41%64 patients2/55-star benchmark: 100%
Breast Cancer Screening
78%205 patients4/55-star benchmark: 93%
Cervical Cancer Screening
93%811 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
67%318 patients
Closing the Referral Loop: Receipt of Specialist Report
65%55 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
43%338 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
81%117 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
12%58 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
36%58 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
42%3,251 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
43%63 patients2/55-star benchmark: 100%
HIV Screening
52%1,124 patients4/55-star benchmark: 60%
Maternity Care: Postpartum Follow-up and Care Coordination
0%139 patients1/55-star benchmark: 58%
Non-Recommended Cervical Cancer Screening in Adolescent Females
Lower rates are better for this measure.
0%47 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
32%764 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
31%848 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
50%2,725 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 1,075 patients
Patients screened: 94% · 1,075 patients
43%101 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 33% · 879 patients
Patients screened: 35% · 879 patients
5%20 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
29%55 patients2/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
66%85 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 71 patients
Patients totalRate: 12% · 74 patients
14%74 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

Clinical Medical Laboratory
601 W HWY 6, SUITE 111
WACO, TX 76710
Pathology (Anatomic Pathology & Clinical Pathology)
601 W HWY 6, SUITE 111
WACO, TX 76710
Pediatrics
601 W HWY 6, SUITE 102
WACO, TX 76710
Physiological Laboratory
601 W HWY 6, SUITE 104
WACO, TX 76710
Clinic/Center (Radiology)
601 W HWY 6, SUITE 104
WACO, TX 76710
Pathology (Anatomic Pathology & Clinical Pathology)
601 W HWY 6, SUITE 111
WACO, TX 76710
Home Health
601 W HWY 6, SUITE 114
WACO, TX 76710
Pathology (Anatomic Pathology & Clinical Pathology)
601 W HWY 6, SUITE 111
WACO, TX 76710

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 Mark Moore's NPI number?

The NPI number for Mark Moore is 1255445458. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Mark Moore located?

Mark Moore practices at 601 W Hwy 6 101, Waco, TX 76710. The listed phone number is (254) 772-5454.

What is Mark Moore's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Moore enrolled in Medicare?

Yes. Mark 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 Mark Moore accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Mark 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 Mark Moore affiliated with any hospitals?

According to CMS data, Mark Moore is affiliated with Ascension Providence.

When was this NPI record last updated?

The NPPES record for Mark Moore was last updated on January 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.