DR. GLEN L MOORE M.D.
NPI 1265533046
Surgery in Chesapeake, VA

Active since September 26, 2006PECOS Enrolled
113 GAINSBOROUGH SQ, STE 400, CHESAPEAKE, VA 23320(757) 842-4499(757) 842-1447 Get Directions Write a Review

NPPES record last updated: May 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Glen L Moore M.d. NPPES

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

DR. GLEN L MOORE M.D. (NPI 1265533046) is an individual surgery provider in Chesapeake, Virginia, licensed in Virginia (0101044198) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265533046
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GLEN L MOORECredential: M.D.
Location Address113 GAINSBOROUGH SQ, STE 400Chesapeake, VA 23320-1713
Mailing Address113 Gainsborough Sq, Ste 400Chesapeake, VA 23320-1713 · (757) 842-4499 · Fax (757) 842-1447
Fax(757) 842-1447
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMay 28, 2013
NPI 1265533046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in VA · 0101044198
Definition
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.
113 GAINSBOROUGH SQ, Chesapeake, VA 23320

Other Identifiers 3

Medicare PINMC10328VA
Medicare PINGC1014
Medicare UPINH81011VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Glen L Moore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
24%130 patients2/55-star benchmark: 92%
Care Plan
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…
95%75 patients4/55-star benchmark: 100%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
19%208 patients
Closing the Referral Loop: Receipt of Specialist Report
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
16%260 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
35%188 patients2/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
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
46%145 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
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.
100%744 patients5/55-star benchmark: 100%
Medication Reconciliation
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.
100%199 patients5/55-star benchmark: 100%
Patient-Specific Education
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.
85%456 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
2%59 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
73%393 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
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
Patients screenedForUse: 100% · 110 patients
96%110 patients4/55-star benchmark: 98%
Provide Patient Access
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…
90%456 patients4/55-star benchmark: 100%
Secure Messaging
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…
8%456 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
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.
Lower rates are better for this measure.
Patients 2+: 0% · 59 patients
0%59 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
41%456 patients
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 19

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

Family Medicine
113 GAINSBOROUGH SQ, SUITE 103
CHESAPEAKE, VA 23320
Surgery
113 GAINSBOROUGH SQ, SUITE 400
CHESAPEAKE, VA 23320
Internal Medicine
113 GAINSBOROUGH SQ, STE 300
CHESAPEAKE, VA 23320
Durable Medical Equipment & Medical Supplies
113 GAINSBOROUGH SQ, STE 202
CHESAPEAKE, VA 23320
Surgery
113 GAINSBOROUGH SQ, STE 400
CHESAPEAKE, VA 23320
Dentist (General Practice)
113 GAINSBOROUGH SQ, SUITE 101
CHESAPEAKE, VA 23320
Colon & Rectal Surgery
113 GAINSBOROUGH SQ, SUITE 400
CHESAPEAKE, VA 23320
Plastic Surgery
113 GAINSBOROUGH SQ, SUITE 400
CHESAPEAKE, VA 23320

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 Glen Moore's NPI number?

The NPI number for Glen Moore is 1265533046. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Glen Moore located?

Glen Moore practices at 113 Gainsborough Sq Ste 400, Chesapeake, VA 23320. The listed phone number is (757) 842-4499.

What is Glen Moore's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Glen Moore enrolled in Medicare?

Yes. Glen Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glen Moore was last updated on May 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.