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ILYSSA PAIGE MOORE MD
NPI 1457845547
Family Medicine in Baltimore, MD

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
201 E UNIVERSITY PKWY, DEPARTMENT OF SURGERY, BALTIMORE, MD 21218(410) 554-2782(443) 444-3430 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 12, 2022, Jun 21, 2018 (2 updates tracked since 2018).

About Ilyssa Paige Moore Md NPPES

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

ILYSSA PAIGE MOORE MD (NPI 1457845547) is an individual family medicine provider in Baltimore, Maryland, licensed in Maryland (D95255) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457845547
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameILYSSA PAIGE MOORECredential: MD
Location Address201 E UNIVERSITY PKWY, DEPARTMENT OF SURGERYBaltimore, MD 21218
Mailing Address201 E University Pkwy, Department Of SurgeryBaltimore, MD 21218 · (410) 554-2782 · Fax (443) 444-3430
Phone(410) 554-2782
Fax(443) 444-3430
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 21, 2018
Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
✔ NPI 1457845547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D95255
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
201 E UNIVERSITY PKWY, Baltimore, MD 21218
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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

Ilyssa Paige Moore Md 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 ID9537574371
PECOS Enrollment IDI20221130000336
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 11

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 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.
333 services220 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
227 services227 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
116 services116 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
72 services71 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
69 services69 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21218 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

RONAK K PATEL M.D.
Internal Medicine
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Baltimore City (410) 554-2000
MRS. LINDSAY NICOLE ROYAL BUSSEY CRNP
Nurse Practitioner (Family)
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Baltimore City (855) 633-0199
ISHA SHARAN MD
Student in an Organized Health Care Education/Training Program
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Baltimore City (410) 554-2284
DR. MIRIAM L COHEN M.D.
Internal Medicine (Cardiovascular Disease)
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Baltimore City (410) 554-2000
TAYYAB AHSAN TANVIR MBBS
Student in an Organized Health Care Education/Training Program
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Baltimore City (410) 554-2284
DR. CALVIN THOMAS WILLIAMS JR. M.D. / PH.D
Internal Medicine (Infectious Disease)
201 E UNIVERSITY PKWY, DEPT OF MEDICINE MEDSTAR UNION MEMORIAL HOSPITAL
BALTIMORE, MD 21218
Baltimore City (443) 474-9911
DAMIEN I SEQUEIRA M.D.
Student in an Organized Health Care Education/Training Program
201 E UNIVERSITY PKWY, DEPT. OF SURGERY
BALTIMORE, MD 21218
Baltimore City (410) 554-2782
DAVID AARON WEINER M.D.
Orthopaedic Surgery
201 E UNIVERSITY PKWY, DEPARTMENT OF ORTHOPAEDIC SURGERY
BALTIMORE, MD 21218
Baltimore City (410) 554-2270

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 Ilyssa Moore's NPI number?

The NPI number for Ilyssa Moore is 1457845547. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Ilyssa Moore located?

Ilyssa Moore practices at 201 E University Pkwy Department Of Surgery, Baltimore, MD 21218. The listed phone number is (410) 554-2782.

What is Ilyssa Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ilyssa Moore enrolled in Medicare?

Yes. Ilyssa 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.

Is Ilyssa Moore affiliated with any hospitals?

According to CMS data, Ilyssa Moore is affiliated with Luminis Health Anne Arundel Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Ilyssa Moore was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.