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LAURENCE NICHOLAS MOORE MD
NPI 1275030850
Family Medicine in Palm Springs, CA

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
4791 E PALM CANYON DR STE 100, PALM SPRINGS, CA 92264(760) 834-7930(760) 834-7931 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2026, Nov 18, 2025, Jul 19, 2024 and 3 more (6 updates tracked since 2018).

About Laurence Nicholas Moore Md NPPES

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

LAURENCE NICHOLAS MOORE MD (NPI 1275030850) is an individual family medicine provider in Palm Springs, California, licensed in California (A177529) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2018).

NPPES Registry Identity

NPI1275030850
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLAURENCE NICHOLAS MOORECredential: MD
Location Address4791 E PALM CANYON DR STE 100Palm Springs, CA 92264-5232
Mailing Address39000 Bob Hope DrRancho Mirage, CA 92270-3202 · (760) 834-7950 · Fax (760) 834-7951
Phone(760) 834-7930
Fax(760) 834-7931
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2018
Enumeration DateApril 10, 2018
Last NPPES UpdateApril 14, 20266 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1275030850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A177529✔ Licensed in OR · MD200222✔ Licensed in WI · 81814-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4791 E PALM CANYON DR STE 100, Palm Springs, CA 92264
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laurence Nicholas 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 ID9133470735
PECOS Enrollment IDI20220919001076, I20230519002565
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Laurence Moore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eisenhower Medical Center
Same address
General Acute Care Hospital
4791 E PALM CANYON DR STE 100
Palm Springs, CA 92264
  • Reassigned Medicare billing, California enrollment
  • 595 clinicians in this Medicare group
NPI 1134424625 (760) 834-7930
County Of Riverside
1.8 mi
Community/Behavioral Health
68615 PEREZ RD, SUITE 6A
Cathedral City, CA 92234
  • Reassigned Medicare billing, California enrollment
  • 336 clinicians in this Medicare group
NPI 1023122454 (760) 770-2222
Desert Medical Group, Inc.
2.5 mi
Family Medicine
275 N EL CIELO RD
Palm Springs, CA 92262
  • Reassigned Medicare billing, California enrollment
  • 167 clinicians in this Medicare group
NPI 1114918612 (760) 320-4122
South Salem Rehabilitation, LLC
840 mi
Skilled Nursing Facility
3445 BOONE RD SE
Salem, OR 97317
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • 3,207 clinicians in this Medicare group
NPI 1215071998 (503) 576-3000

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 92264 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

THOMAS CHRISTOPHER MCNEIL APRN-CNP
Nurse Practitioner (Adult Health)
4791 E PALM CANYON DR STE 100
PALM SPRINGS, CA 92264
Riverside County (760) 834-7390
EISENHOWER MEDICAL CENTER
General Acute Care Hospital
4791 E PALM CANYON DR STE 100
PALM SPRINGS, CA 92264
Riverside County (760) 834-7930
JAMES MELVIN ADAMS M.D.
Family Medicine
4791 E PALM CANYON DR STE 100
PALM SPRINGS, CA 92264
Riverside County (760) 834-7930
KAMEL AZHAR M.D, M.A.S
Family Medicine
4791 E PALM CANYON DR STE 100
PALM SPRINGS, CA 92264
Riverside County (760) 834-7930
JORGE ERNESTO RODRIGUEZ M.D.
Internal Medicine
4791 E PALM CANYON DR STE 100
PALM SPRINGS, CA 92264
Riverside County (760) 834-7930
RUSSELL G. HISSCOCK DO
Family Medicine
4791 E PALM CANYON DR STE 100
PALM SPRINGS, CA 92264
Riverside County (760) 834-7930
ANN E STAPLETON MD
Internal Medicine (Infectious Disease)
4791 E PALM CANYON DR STE 100
PALM SPRINGS, CA 92264
Riverside County (760) 834-7930
JAE YONG LEE M.D.
Internal Medicine
4791 E PALM CANYON DR STE 100
PALM SPRINGS, CA 92264
Riverside County (760) 834-7930

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 Laurence Moore's NPI number?

The NPI number for Laurence Moore is 1275030850. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Laurence Moore located?

Laurence Moore practices at 4791 E Palm Canyon Dr Ste 100, Palm Springs, CA 92264. The listed phone number is (760) 834-7930.

What is Laurence Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Laurence Moore enrolled in Medicare?

Yes. Laurence 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.

Which organizations bill Medicare for Laurence Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laurence Moore reassigns Medicare benefits to 4 organizations: Eisenhower Medical Center (Palm Springs, CA), County Of Riverside (Cathedral City, CA), Desert Medical Group, Inc. (Palm Springs, CA) and South Salem Rehabilitation, LLC (Salem, OR). Each 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 Laurence 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 Laurence Moore was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.