DR. GLEN L MOORE M.D. NPI 1265533046
Surgery in Chesapeake, VA
About DR. GLEN L MOORE M.D.
Glen Moore is a provider established in Chesapeake, Virginia and his medical specialization is Surgery. The NPI number of Glen Moore is 1265533046 and was assigned on September 2006. The practitioner's primary taxonomy code is 208600000X with license number 0101044198 (VA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
| NPI | 1265533046 |
| Provider Name | DR. GLEN L MOORE M.D. |
| Location Address | 113 GAINSBOROUGH SQ STE 400 CHESAPEAKE, VA 23320 |
| Location Phone | (757) 842-4499 |
| Mailing Address | 113 GAINSBOROUGH SQ STE 400 CHESAPEAKE, VA 23320 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 09-26-2006 |
| Last Update Date | 05-28-2013 |
A surgeon like Dr. Glen L Moore M.d. treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.Glen Moore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 84.4, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: breast cancer screening, care plan, chronic care and preventative care management for empaneled patients, closing the referral loop: receipt of specialist report, colorectal cancer screening, diabetes: medical attention for nephropathy, documentation of current medications in the medical record, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, medication reconciliation, patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, secure messaging, security risk analysis, specialized registry reporting, use of decision support and standardized treatment protocols and use of high-risk medications in the elderly.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 208600000X |
| Classification | Surgery |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 0101044198 |
| License State | VA |
| Taxonomy Description | A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
DR. GLEN L MOORE M.D.
113 GAINSBOROUGH SQ
STE 400
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 842-4499
Fax: (757) 842-1447
Mailing Address
DR. GLEN L MOORE M.D.
113 GAINSBOROUGH SQ
STE 400
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 842-4499
Fax: (757) 842-1447
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 93.4 | |
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The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 60 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 84.4 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Quality Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 24% | 130 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Care Plan | 95% | 75 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Closing the Referral Loop: Receipt of Specialist Report | 16% | 260 |
| Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred | ||
| Colorectal Cancer Screening | 35% | 188 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Diabetes: Medical Attention for Nephropathy | 46% | 145 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
| Documentation of Current Medications in the Medical Record | 100% | 744 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 100% | 199 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 85% | 456 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 2% | 59 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 73% | 393 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% | 110 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 90% | 456 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 8% | 456 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
| Use of High-Risk Medications in the Elderly | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 59 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| MC10328 | MEDICARE PIN (08) | VA |
| GC1014 | MEDICARE PIN (08) | |
| H81011 | MEDICARE UPIN (02) | VA |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 5 | 3 | 3 | 0 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 10 | 3 | 6 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 0 + 3 + 6 + 0 + 8 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1265533046 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588669980 | DAVID J WEST MD Individual | Internal Medicine | 113 GAINSBOROUGH SQ STE 300 CHESAPEAKE, VA 23320 (757) 547-9286 |
| 1861497265 | ANDREW NICHOLAS TERRY JR. MD Individual | Internal Medicine | 113 GAINSBOROUGH SQ STE 300 CHESAPEAKE, VA 23320 (757) 547-9286 |
| 1700881109 | CHRISTINE D HIGGINS MD Individual | Internal Medicine | 113 GAINSBOROUGH SQ STE 300 CHESAPEAKE, VA 23320 (757) 547-9286 |
| 1598760050 | JULIUS S MILLER MD Individual | Internal Medicine | 113 GAINSBOROUGH SQ STE 300 CHESAPEAKE, VA 23320 (757) 547-9286 |
| 1699715516 | JOHN RAMEY HOLLAND M.D. Individual | Surgery | 113 GAINSBOROUGH SQ SUITE 103 CHESAPEAKE, VA 23320 (757) 548-1038 |
| 1861507121 | DR. ELDRIDGE HOPKINS DERRING JR. M.D. Individual | Internal Medicine (Pulmonary Disease) | 113 GAINSBOROUGH SQ SUITE 300 CHESAPEAKE, VA 23320 (757) 547-9451 |
| 1013088186 | CONVENIENT CARE OF TIDEWATER Organization | Family Medicine | 113 GAINSBOROUGH SQ SUITE 103 CHESAPEAKE, VA 23320 (757) 549-0222 |
| 1700938750 | PULMONARY CONSULTANTS OF TIDEWATER PC Organization | Internal Medicine (Pulmonary Disease) | 113 GAINSBOROUGH SQ SUITE 300 CHESAPEAKE, VA 23320 (757) 547-9451 |
| 1215067111 | UROLOGY OF VIRGINIA PC Organization | Durable Medical Equipment & Medical Supplies | 113 GAINSBOROUGH SQ STE 202 CHESAPEAKE, VA 23320 (757) 547-0121 |
| 1437331725 | SENTARA MEDICAL GROUP Organization | Urology | 113 GAINSBOROUGH SQ STE 202 CHESAPEAKE, VA 23320 (757) 457-5480 |
| 1326377490 | COMMONWEALTH PLASTIC SURGERY, P.C. Organization | Plastic Surgery | 113 GAINSBOROUGH SQ SUITE 400 CHESAPEAKE, VA 23320 (757) 549-2492 |
| 1225310550 | SHARON Y. COLVIN, D.D.S., P.C Organization | Dentist (General Practice) | 113 GAINSBOROUGH SQ SUITE 101 CHESAPEAKE, VA 23320 (757) 548-5619 |
| 1679739312 | DR. OSAMA SHOUEB MODJADIDI D.M.D. Individual | Dentist (General Practice) | 113 GAINSBOROUGH SQ SUITE 101 CHESAPEAKE, VA 23320 (757) 548-5619 |
| 1629322615 | CHESAPEAKE FAMILY DENTAL Organization | Dentist | 113 GAINSBOROUGH SQ SUITE 101 CHESAPEAKE, VA 23320 (757) 548-5619 |
| 1225093529 | DAVID D. SPENCER D.O Individual | Surgery | 113 GAINSBOROUGH SQ STE 400 CHESAPEAKE, VA 23320 (757) 842-4499 |
| 1326222779 | DR. BRIAN SETH BUCHBERG M.D. Individual | Colon & Rectal Surgery | 113 GAINSBOROUGH SQ SUITE 400 CHESAPEAKE, VA 23320 (757) 842-4499 |
| 1134236037 | CHESAPEAKE INTERNISTS LTD Organization | Internal Medicine | 113 GAINSBOROUGH SQ STE 300 CHESAPEAKE, VA 23320 (757) 547-9286 |
| 1467499376 | ALIREZA FARPOUR M.D. Individual | Surgery | 113 GAINSBOROUGH SQ SUITE 400 CHESAPEAKE, VA 23320 (757) 842-4499 |
| 1063688117 | DR. STEPHEN HSIANG-HAN LIN MD Individual | Surgery | 113 GAINSBOROUGH SQ SUITE 400 CHESAPEAKE, VA 23320 (757) 842-4499 |
| 1235393737 | DR. REENA NANDITA TAHILRAMANI M.D. Individual | Surgery | 113 GAINSBOROUGH SQ CHESAPEAKE, VA 23320 (631) 581-4400 |
Frequently Asked Questions
What is Dr. Glen Moore M.D. NPI number?
The NPI number assigned to Dr. Glen Moore M.D. is 1265533046, registered as an "individual" on September 26, 2006
Where is Dr. Glen Moore M.D. located?
The provider is located at 113 Gainsborough Sq Ste 400 Chesapeake, Va 23320 and the phone number is (757) 842-4499
Which is Dr. Glen Moore M.D. specialty?
The provider's speciality is Surgery
What insurance does Dr. Glen Moore M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.
Is Dr. Glen Moore M.D. registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Dr. Glen Moore M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Dr. Glen Moore M.D.?
Medicare beneficiaries should expect a typical cost of $90.36 with an average copayment of $22.59 for new patient appointments. Established patients should expect a typical charge of $73.51 and an average copayment of 18.37. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Dr. Glen Moore M.D. was last updated on September 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]