DR. GARY N MOORE DDS
NPI 1376522979
Dentist - General Practice in Colorado Springs, CO

Active since January 11, 2006PECOS Enrolled
3695 STAR RANCH RD, COLORADO SPRINGS, CO 80906(719) 597-7979(719) 597-8084 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2026, Jun 23, 2025, Jun 13, 2019 (3 updates tracked since 2019).

About Dr. Gary N Moore Dds NPPES

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

DR. GARY N MOORE DDS (NPI 1376522979) is an individual general practice provider in Colorado Springs, Colorado, licensed in Colorado (8585) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Canon City.

NPPES Registry Identity

NPI1376522979
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GARY N MOORECredential: DDS
Location Address3695 STAR RANCH RDColorado Springs, CO 80906-5980
Mailing Address3695 Star Ranch RdColorado Springs, CO 80906-5980 · (719) 597-7979 · Fax (719) 597-8084
Fax(719) 597-8084
Sole ProprietorYes
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1376522979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in CO · 8585 Licensed in NV · 3216
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 8930 (CO)
3695 STAR RANCH RD, Colorado Springs, CO 80906

Secondary Practice Location 1

Location 1410 Macon AveCanon City, CO 81212-3225 · Phone (719) 276-0117

Other Identifiers 3

Other1881255107CO · Npi2
Medicaid13954318CO
Medicaid1013331560CO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gary N Moore Dds 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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 80906 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 2

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

Dentist
3695 STAR RANCH RD
COLORADO SPRINGS, CO 80906
Student in an Organized Health Care Education/Training Program
3695 STAR RANCH RD
COLORADO SPRINGS, CO 80906

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 Gary Moore's NPI number?

The NPI number for Gary Moore is 1376522979. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Gary Moore located?

Gary Moore practices at 3695 Star Ranch Rd, Colorado Springs, CO 80906. The listed phone number is (719) 597-7979.

What is Gary Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gary Moore enrolled in Medicare?

Yes. Gary Moore is registered in the Medicare PECOS enrollment system.

What insurance does Gary Moore accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Gary 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.

When was this NPI record last updated?

The NPPES record for Gary Moore was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.