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DERIK MOORE
NPI 1528490877
Social Worker - Clinical in Philadelphia, PA

Active since August 08, 2013PECOS Enrolled
230 S BROAD ST STE 1903, PHILADELPHIA, PA 19102(267) 258-1027 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2024, Mar 17, 2018 (2 updates tracked since 2018).

About Derik Moore NPPES

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

DERIK MOORE (NPI 1528490877) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW018657) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528490877
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDERIK MOORE
Location Address230 S BROAD ST STE 1903Philadelphia, PA 19102-4121
Mailing Address451 Roxborough AvePhiladelphia, PA 19128-3536 · (267) 258-1027
Phone(267) 258-1027
Sole ProprietorNo
Enumeration DateAugust 8, 2013
Last NPPES UpdateSeptember 2, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2024
✔ NPI 1528490877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in PA · CW018657✔ Licensed in NJ · 44SC05928700
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
230 S BROAD ST STE 1903, Philadelphia, PA 19102
Open in Google Maps ↗

Other Identifiers 1

Medicaid102852871PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derik Moore 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.

Medicare Billing Reassignment

Medicare enrollment records show Derik Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brendanmoor Therapy LLC
6.1 mi
Clinical
451 ROXBOROUGH AVE
Philadelphia, PA 19128
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1831916162 (267) 258-1027

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$0.00 typical visit price
range $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

ZEVI B KORETZ LPC
Counselor (Professional)
230 S BROAD ST STE 1903
PHILADELPHIA, PA 19102
Philadelphia County (267) 627-4654
ADAM JOSEPH GAUBINGER LCSW
Social Worker (Clinical)
230 S BROAD ST STE 1903
PHILADELPHIA, PA 19102
Philadelphia County (413) 961-9046

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 Derik Moore's NPI number?

The NPI number for Derik Moore is 1528490877. It was assigned to this individual provider in the NPPES registry on August 8, 2013.

Where is Derik Moore located?

Derik Moore practices at 230 S Broad St Ste 1903, Philadelphia, PA 19102. The listed phone number is (267) 258-1027.

What is Derik Moore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Derik Moore enrolled in Medicare?

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

Which organization bills Medicare for Derik Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derik Moore reassigns Medicare benefits to Brendanmoor Therapy LLC (Philadelphia, PA). The 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 Derik Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derik Moore accept?

Health plans from Oscar Health list Derik 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 Derik Moore was last updated on September 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.