MICHAEL DAVID MOORE M.D.
NPI 1366521759
Ophthalmology in Syracuse, NY

Q: What is Michael Moore's NPI number?

The NPI number for Michael Moore is 1366521759. It was assigned to this individual provider in the NPPES registry on November 4, 2006.

Q: What is Michael Moore's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Moore was last updated on April 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 November 04, 2006PECOS EnrolledAccepts Medicare Assignment

76.76/100

CMS Quality Rating

5792 WIDEWATERS PKWY STE 101, SYRACUSE, NY 13214(315) 422-4412 Get Directions Write a Review

NPPES record last updated: April 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Michael David Moore M.d. NPPES

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

MICHAEL DAVID MOORE M.D. (NPI 1366521759) is an individual ophthalmology provider in Syracuse, New York, licensed in New York (207748) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1366521759

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMICHAEL DAVID MOORECredential: M.D.

Location Address5792 WIDEWATERS PKWY STE 101Syracuse, NY 13214-1847

Mailing Address5792 Widewaters Pkwy Ste 101Syracuse, NY 13214-1847 · (315) 422-4412

Phone(315) 422-4412

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateNovember 4, 2006

Last NPPES UpdateApril 27, 2019

✔ NPI 1366521759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in NY · 207748✔ Licensed in CA · G85428

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

5792 WIDEWATERS PKWY STE 101, Syracuse, NY 13214

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Other Identifiers 15

Other49516CA · Interplan

Medicaid00G854280CA

Other1392936CA · Great West

Other2700475CA · Cigna

Other7429234CA · Aetna

Other90121857CA · Pacificare

OtherG85428CA · Blue Cross

OtherMCMG170200CA · Western Health Advantage

Other00G854280CA · Blue Shield

Medicaid01852235NY

Other1767577CA · United Healthcare

Other2258848CA · First Health

Other937998CA · First Health

Other000001620745CA · Phcs

Other089071CA · Health Net

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael David Moore M.d. 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 ID3577637305

PECOS Enrollment IDI20180420001146

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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

415 services386 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

316 services296 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

230 services211 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

193 services186 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

172 services145 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

150 services132 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Oswego Hospital

Acute Care Hospitals · Oswego, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330218

Location110 West Sixth StreetOswego, NY 13126 · Oswego County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13214 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

22.56

Other Providers at the Same Location NPPES 10

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

CHARLES TEITELBAUM MD

Ophthalmology