DR. JONATHAN E MOORE DPM
NPI 1558339440
Podiatrist - Foot & Ankle Surgery in Somerset, KY

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
117 TRADEPARK DR, SOMERSET, KY 42503(606) 679-2773(606) 679-4626 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jonathan E Moore Dpm NPPES

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

DR. JONATHAN E MOORE DPM (NPI 1558339440) is an individual foot & ankle surgery provider in Somerset, Kentucky, licensed in Kentucky (00269) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of California School Of Podiatric Medicine (1999).

NPPES Registry Identity

NPI1558339440
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JONATHAN E MOORECredential: DPM
Location Address117 TRADEPARK DRSomerset, KY 42503-3428
Mailing Address117 Tradepark DrSomerset, KY 42503-3428 · (606) 679-2773 · Fax (606) 679-4626
Fax(606) 679-4626
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1999
Enumeration DateMarch 8, 2006
Last NPPES UpdateOctober 29, 2007
NPI 1558339440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in KY · 00269
117 TRADEPARK DR, Somerset, KY 42503

Other Identifiers 4

Medicaid80000243KY
Medicare UPINU90717KY
Medicare ID-Type Unspecified0714201KY
Medicare NSC4538530001

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 and accepts Medicare assignment

Dr. Jonathan E Moore Dpm 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 ID2264323294
PECOS Enrollment IDI20101104000942
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 18

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
649 services225 patients
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.
365 services199 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
270 services189 patients
Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
246 services107 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
158 services29 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
122 services65 patients

Hospital Affiliations CMS Care Compare

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers69 claims138 services$54.64 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers17 claims100 services$25.03 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
3 suppliers36 claims204 services$36.72 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier17 claims102 services$35.16 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
4 suppliers59 claims705 services$9.07 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
3 suppliers13 claims390 services$0.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
117 TRADEPARK DR
SOMERSET, KY 42503
Podiatrist (Foot & Ankle Surgery)
117 TRADEPARK DR
SOMERSET, KY 42503
Podiatrist (Foot & Ankle Surgery)
117 TRADEPARK DR
SOMERSET, KY 42503
Podiatrist (Foot & Ankle Surgery)
117 TRADEPARK DR
SOMERSET, KY 42503
Pharmacist
117 TRADEPARK DR
SOMERSET, KY 42503
Podiatrist (Foot & Ankle Surgery)
117 TRADEPARK DR, SOMERSET
SOMERSET, KY 42503
Podiatrist (Foot & Ankle Surgery)
117 TRADEPARK DR
SOMERSET, KY 42503
Podiatrist (Foot & Ankle Surgery)
117 TRADEPARK DR
SOMERSET, KY 42503

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 Jonathan Moore's NPI number?

The NPI number for Jonathan Moore is 1558339440. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Jonathan Moore located?

Jonathan Moore practices at 117 Tradepark Dr, Somerset, KY 42503. The listed phone number is (606) 679-2773.

What is Jonathan Moore's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jonathan Moore enrolled in Medicare?

Yes. Jonathan 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.

What insurance does Jonathan Moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Jonathan 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 Jonathan Moore affiliated with any hospitals?

According to CMS data, Jonathan Moore is affiliated with Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Moore was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.