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CALEB MOORE MD
NPI 1366461790
Internal Medicine in Waterbury, CT

Active since July 18, 2006Opted out of Medicare · through Jan 17, 2028
140 GRANDVIEW AVE, SUITE #101, WATERBURY, CT 06708(203) 573-7284(203) 573-7031 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caleb Moore Md NPPES

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

CALEB MOORE MD (NPI 1366461790) is an individual internal medicine provider in Waterbury, Connecticut, licensed in Connecticut (044186) and active in the NPI registry since July 2006. He has opted out of Medicare through January 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366461790
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCALEB MOORECredential: MD
Location Address140 GRANDVIEW AVE, SUITE #101Waterbury, CT 06708-2505
Mailing Address1625 Straits TpkeMiddlebury, CT 06762-1836 · (203) 573-9512 · Fax (203) 568-2904
Phone(203) 573-7284
Fax(203) 573-7031
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366461790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 044186
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
140 GRANDVIEW AVE, Waterbury, CT 06708
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Caleb Moore Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 17, 2020 through January 17, 2028.

Opt-Out Effective DateJanuary 17, 2020
Opt-Out In Effect ThroughJanuary 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06708 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 20

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

GIRVICE ARCHER M.D
Anesthesiology
140 GRANDVIEW AVE
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 757-7000
DR. LYDIA AOUN-BARAKAT MD
Internal Medicine (Infectious Disease)
140 GRANDVIEW AVE, SUITE #L01
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 574-4187
GARY POUPKO M.D
Anesthesiology
140 GRANDVIEW AVE
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 757-7000
DR. MAJID SADIGH MD
Internal Medicine (Infectious Disease)
140 GRANDVIEW AVE, SUITE #101
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7284
JOSEPH ROCCO
Nurse Anesthetist, Certified Registered
140 GRANDVIEW AVE
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 757-7000
DR. WILLIAM D RIFKIN MD
Internal Medicine
140 GRANDVIEW AVE, SUITE #101
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7284
JANET L VODRA MD
Obstetrics & Gynecology
140 GRANDVIEW AVE, SUITE 202
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 755-2344
RAYMOND CLEMENT M.D
Anesthesiology
140 GRANDVIEW AVE
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 757-7000

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 Caleb Moore's NPI number?

The NPI number for Caleb Moore is 1366461790. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Caleb Moore located?

Caleb Moore practices at 140 Grandview Ave Suite #101, Waterbury, CT 06708. The listed phone number is (203) 573-7284.

What is Caleb Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Caleb Moore enrolled in Medicare?

No. Caleb Moore has opted out of Medicare through January 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Caleb Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.