COURTENAY KATHRYN MOORE MD
NPI 1568552644
Urology in Columbus, OH

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
915 OLENTANGY RIVER RD, COLUMBUS, OH 43212(614) 293-8155(614) 293-3565 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 14, 2026, Apr 2, 2025, Nov 16, 2020 and 1 more (4 updates tracked since 2020).

About Courtenay Kathryn Moore Md NPPES

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

COURTENAY KATHRYN MOORE MD (NPI 1568552644) is an individual urology provider in Columbus, Ohio, licensed in Ohio (35.085038) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Albany Medical College Of Union University (1999).

NPPES Registry Identity

NPI1568552644
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameCOURTENAY KATHRYN MOORECredential: MD
Location Address915 OLENTANGY RIVER RDColumbus, OH 43212-3153
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-8155 · Fax (614) 293-3565
Fax(614) 293-3565
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1999
Enumeration DateOctober 13, 2006
Last NPPES UpdateMay 14, 20264 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1568552644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OH · 35.085038
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X · License 35.085038 (OH)
915 OLENTANGY RIVER RD, Columbus, OH 43212

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtenay Kathryn 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 ID6608838297
PECOS Enrollment IDI20041027000044
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 Courtenay Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Urology
915 OLENTANGY RIVER RD, SUITE 2000
Columbus, OH 43212
  • Reassigned Medicare billing, Ohio enrollment
  • 40 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 24

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
7,201 services30 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,150 services11 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
127 services110 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
122 services108 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.
82 services61 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
78 services78 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43212 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers17 claims2,970 services$1.60 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 20

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

Plastic Surgery (Surgery of the Hand)
915 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Ophthalmology (Retina Specialist)
915 OLENTANGY RIVER RD, SUITE 5000
COLUMBUS, OH 43212
Physician Assistant (Surgical)
915 OLENTANGY RIVER RD, SUITE 2100
COLUMBUS, OH 43212
Urology
915 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Nurse Practitioner (Family)
915 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Ophthalmology
915 OLENTANGY RIVER RD, EEINS 6TH 7TH AND 8TH FLOORS
COLUMBUS, OH 43212
Ophthalmology
915 OLENTANGY RIVER RD
COLUMBUS, OH 43212

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 Courtenay Moore's NPI number?

The NPI number for Courtenay Moore is 1568552644. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Courtenay Moore located?

Courtenay Moore practices at 915 Olentangy River Rd, Columbus, OH 43212. The listed phone number is (614) 293-8155.

What is Courtenay Moore's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Courtenay Moore enrolled in Medicare?

Yes. Courtenay 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.

Which organization bills Medicare for Courtenay Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtenay Moore reassigns Medicare benefits to Osu Urology, LLC (Columbus, OH). 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 Courtenay Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtenay Moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. list Courtenay 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 Courtenay Moore affiliated with any hospitals?

According to CMS data, Courtenay Moore is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Courtenay Moore was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.