DR. EVAN STOUT MOORE DDS
NPI 1548828916
Dentist - General Practice in Madison, NC

Active since May 31, 2019PECOS Enrolled
201 N DALTON ST, MADISON, NC 27025(336) 548-9678 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 18, 2024, May 31, 2019 (2 updates tracked since 2019).

About Dr. Evan Stout Moore Dds NPPES

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

DR. EVAN STOUT MOORE DDS (NPI 1548828916) is an individual general practice provider in Madison, North Carolina, licensed in North Carolina (11410) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548828916
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EVAN STOUT MOORECredential: DDS
Location Address201 N DALTON STMadison, NC 27025-1903
Mailing Address19810 W Catawba Ave Ste A1Cornelius, NC 28031-4056
Sole ProprietorNo
Enumeration DateMay 31, 2019
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
NPI 1548828916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 11410
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.

201 N DALTON ST, Madison, NC 27025

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. Evan Stout 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 27025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

Dentist (General Practice)
201 N DALTON ST
MADISON, NC 27025
Clinic/Center (Dental)
201 N DALTON ST
MADISON, NC 27025
Dentist (General Practice)
201 N DALTON ST
MADISON, NC 27025
Dentist (General Practice)
201 N DALTON ST
MADISON, NC 27025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548828916, enumerated as an "individual" on May 31, 2019.

The provider is located at 201 N DALTON ST MADISON, NC 27025 and the phone number is (336) 548-9678.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.