MR. WILLIAM M MOORE JR. MD
NPI 1316958895
Surgery - Vascular Surgery in West Columbia, SC

Q: What is William Moore's NPI number?

The NPI number for William Moore is 1316958895. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is William Moore's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for William Moore was last updated on November 10, 2020. 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.

Active since August 10, 2006PECOS Enrolled

2728 SUNSET BLVD STE 400, WEST COLUMBIA, SC 29169(803) 936-7095(803) 936-7908 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 10, 2020, Feb 17, 2020, May 7, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Mr. William M Moore Jr. Md NPPES

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

MR. WILLIAM M MOORE JR. MD (NPI 1316958895) is an individual vascular surgery provider in West Columbia, South Carolina, licensed in South Carolina (11908) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316958895

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameMR. WILLIAM M MOORE JR.Credential: MD

Location Address2728 SUNSET BLVD STE 400West Columbia, SC 29169-4839

Mailing AddressPo Box 6069West Columbia, SC 29171-6069

Phone(803) 936-7095

Fax(803) 936-7908

Sole ProprietorNo

Enumeration DateAugust 10, 2006

Last NPPES UpdateNovember 10, 20204 updates tracked since enumeration

NPPES CertifiedNovember 10, 2020

✔ NPI 1316958895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in SC · 11908

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

2728 SUNSET BLVD STE 400, West Columbia, SC 29169

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Other Identifiers 2

OtherP00120188Rr Medicare

Medicaid119080SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William M Moore Jr. Md 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.

Medicare Billing Reassignment

Medicare enrollment records show William Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lexington Health Inc

Same address

Cardiovascular Disease

2728 SUNSET BLVD STE 300
West Columbia, SC 29169

Reassigned Medicare billing, South Carolina enrollment
1,219 clinicians in this Medicare group

NPI 1083211312 (803) 744-4940

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 29169 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 20

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

IAN MICHAEL BRASTAUSKAS

Surgery (Vascular Surgery)