BENJAMIN WILLIAM MOORE MD
NPI 1346079654
Surgery in Oklahoma City, OK

Active since July 26, 2024PECOS Enrolled
1100 N LINDSAY AVE, OKLAHOMA CITY, OK 73104(405) 271-4000 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 15, 2025, Jul 26, 2024 (2 updates tracked since 2024).

About Benjamin William Moore Md NPPES

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

BENJAMIN WILLIAM MOORE MD (NPI 1346079654) is an individual surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (45588) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346079654
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBENJAMIN WILLIAM MOORECredential: MD
Location Address1100 N LINDSAY AVEOklahoma City, OK 73104-5410
Mailing Address2057 Mattern DrOklahoma City, OK 73118-1911
Sole ProprietorNo
Enumeration DateJuly 26, 2024
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1346079654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OK · 45588
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.

1100 N LINDSAY AVE, Oklahoma City, OK 73104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Benjamin William Moore 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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 73104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.46
  • Minimum New Patient Price $53
  • Maximum New Patient Price $162.61
  • Average New Patient Copayment $20.61
  • Minimum New Patient Copayment $13.25
  • Maximum New Patient Copayment $40.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.48
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $132.4
  • Average Established Patient Copayment $16.62
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $33.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Chronic Disease Hospital
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Clinical Neuropsychologist
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Student in an Organized Health Care Education/Training Program
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Internal Medicine
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Ophthalmology
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Radiology (Diagnostic Radiology)
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Internal Medicine
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Hospitalist
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Internal Medicine (Cardiovascular Disease)
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Orthopaedic Surgery
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Psychiatry & Neurology (Neurology)
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Student in an Organized Health Care Education/Training Program
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Student in an Organized Health Care Education/Training Program
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Student in an Organized Health Care Education/Training Program
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Student in an Organized Health Care Education/Training Program
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Student in an Organized Health Care Education/Training Program
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Radiology (Diagnostic Radiology)
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Student in an Organized Health Care Education/Training Program
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Student in an Organized Health Care Education/Training Program
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104
Student in an Organized Health Care Education/Training Program
1100 N LINDSAY AVE
OKLAHOMA CITY, OK 73104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346079654, enumerated as an "individual" on July 26, 2024.

The provider is located at 1100 N LINDSAY AVE OKLAHOMA CITY, OK 73104 and the phone number is (405) 271-4000.

Surgery with taxonomy code 208600000X.