RYAN MOORE
NPI 1356761415
Plastic Surgery in Newport Beach, CA

Q: What is Ryan Moore's NPI number?

The NPI number for Ryan Moore is 1356761415. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Q: What is Ryan Moore's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Moore was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 16, 2014PECOS Enrolled

1441 AVOCADO AVE STE 301, NEWPORT BEACH, CA 92660(858) 353-6060 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ryan Moore NPPES

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

RYAN MOORE (NPI 1356761415) is an individual plastic surgery provider in Newport Beach, California, licensed in California (A141603) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2014).

NPPES Registry Identity

NPI1356761415

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameRYAN MOORE

Location Address1441 AVOCADO AVE STE 301Newport Beach, CA 92660-7704

Mailing Address1441 Avocado Ave Ste 301Newport Beach, CA 92660-7704

Phone(858) 353-6060

Sole ProprietorYes

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2014

Enumeration DateApril 16, 2014

Last NPPES UpdateDecember 30, 2021

NPPES CertifiedDecember 30, 2021

✔ NPI 1356761415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in CA · A141603

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1441 AVOCADO AVE STE 301, Newport Beach, CA 92660

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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 (PECOS)

Ryan Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628353679

PECOS Enrollment IDI20210310003149

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 Ryan Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ryan Moore MD Inc

7.6 mi

Plastic Surgery

16520 BAKE PKWY STE 115
Irvine, CA 92618

Reassigned Medicare billing, California enrollment

NPI 1497476212 (708) 966-3025

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 92660 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 7

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

CHRISTINA PRENDERGAST D.O.

Surgery (Plastic and Reconstructive Surgery)