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CHARLES MOORE M.D.
NPI 1588775712
Otolaryngology in Atlanta, GA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
1365A CLIFTON RD NE, DEPARTMENT OF OTOLARYNGOLOGY, ATLANTA, GA 30322(404) 778-3381(404) 778-4295 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Moore M.d. NPPES

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

CHARLES MOORE M.D. (NPI 1588775712) is an individual otolaryngology provider in Atlanta, Georgia, licensed in Georgia (44789) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Harvard Medical School (1991).

NPPES Registry Identity

NPI1588775712
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameCHARLES MOORECredential: M.D.
Location Address1365A CLIFTON RD NE, DEPARTMENT OF OTOLARYNGOLOGYAtlanta, GA 30322-1013
Mailing Address1365a Clifton Rd Ne, Department Of OtolaryngologyAtlanta, GA 30322-1013 · (404) 778-3381 · Fax (404) 778-4295
Phone(404) 778-3381
Fax(404) 778-4295
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 1991
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1588775712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 44789
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1365A CLIFTON RD NE, Atlanta, GA 30322
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Other Identifiers 1

Medicare UPING66158GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Charles Moore M.d. 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 ID7012176779
PECOS Enrollment IDI20130509000351
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 3

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.
36 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

JOHN SWEENEY MD
Surgery
1365A CLIFTON RD NE, SUITE 3300
ATLANTA, GA 30322
Dekalb County (404) 778-3712
LOIS WILDER PA-C
Physician Assistant (Medical)
1365A CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-3956
DR. GEORGE ALLEN MAYHALL MD
Radiology (Diagnostic Radiology)
1365A CLIFTON RD NE, SUITE AT-627
ATLANTA, GA 30322
Dekalb County (404) 778-3800
DR. DELIANE BELONI-BUSSEY AU.D.
Audiologist
1365A CLIFTON RD NE, SUITE 2300
ATLANTA, GA 30322
Dekalb County (404) 778-3387
JOHN DELGAUDIO M.D.
Otolaryngology (Otolaryngic Allergy)
1365A CLIFTON RD NE, DEPARTMENT OF OTOLARYNGOLOGY
ATLANTA, GA 30322
Dekalb County (404) 778-8331
DR. NORMAN WENDELL TODD JR. M.D., M.P.H.
Otolaryngology (Pediatric Otolaryngology)
1365A CLIFTON RD NE, EMORY UNIVERSITY, DEPARTMENT OF OTOLARYNGOLOGY
ATLANTA, GA 30322
Dekalb County (404) 727-1368
DR. TAREK MOHAMED KANDEEL M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1365A CLIFTON RD NE, CARDIOTHORACIC SURGERY DEPARTMENT
ATLANTA, GA 30322
Dekalb County (404) 287-4346
WILLIAM GRIST
Otolaryngology
1365A CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-3381

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 Charles Moore's NPI number?

The NPI number for Charles Moore is 1588775712. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Charles Moore located?

Charles Moore practices at 1365A Clifton Rd NE Department Of Otolaryngology, Atlanta, GA 30322. The listed phone number is (404) 778-3381.

What is Charles Moore's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Charles Moore enrolled in Medicare?

Yes. Charles 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 Charles Moore accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Charles 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 Charles Moore affiliated with any hospitals?

According to CMS data, Charles Moore is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Charles Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.