MICHAEL DAVID MOORE M.D.
NPI 1366521759
Ophthalmology in Syracuse, NY
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
Specialties & Licenses
Other Identifiers 15
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Michael Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13214
- Reassigned Medicare billing, New York enrollment
- 6 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 54 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NYPhysician 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.
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.
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.
SYRACUSE, NY 13214
SYRACUSE, NY 13214
SYRACUSE, NY 13214
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 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.
Where is Michael Moore located?
Michael Moore practices at 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214. The listed phone number is (315) 422-4412.
What is Michael Moore's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Michael Moore enrolled in Medicare?
Yes. Michael Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Michael Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Moore reassigns Medicare benefits to 2 organizations: Eye Consultants Of Syracuse PC (Syracuse, NY) and Ophthalmology Medical Service Group Inc (Syracuse, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Moore accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list Michael Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Michael Moore affiliated with any hospitals?
According to CMS data, Michael Moore is affiliated with Oswego Hospital.
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.
# Michael David Moore, M.D. · NPI 1366521759
Ophthalmology physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since November 4, 2006.
## Identity
- **NPI:** 1366521759 (Entity type: Individual)
- **Enumerated:** November 4, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 207748 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5792 WIDEWATERS PKWY STE 101, Syracuse, NY 13214-1847
- **Phone:** (315) 422-4412
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Eye Consultants Of Syracuse PC (NPI 1568578920, Syracuse, NY); Ophthalmology Medical Service Group Inc (NPI 1225072051, Syracuse, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** April 27, 2019
- **Other identifiers:** Other 49516 (CA); Medicaid 00G854280 (CA); Other 1392936 (CA); and 12 more
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Source: [NPI Profile](https://npiprofile.com/npi/1366521759) · Data from the CMS NPPES public registry.