DR. MALCOLM S MOORE JR. M.D.
NPI 1629041322
Ophthalmology in Macon, GA

Active since February 12, 2006PECOS EnrolledAccepts Medicare Assignment
99.42/100
CMS Quality Rating
1429 OGLETHORPE ST, MACON, GA 31201(478) 743-7061(478) 743-6296 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Malcolm S Moore Jr. M.d. NPPES

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

DR. MALCOLM S MOORE JR. M.D. (NPI 1629041322) is an individual ophthalmology provider in Macon, Georgia, licensed in Georgia (031996) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of University Of Mississippi School Of Medicine (1985).

NPPES Registry Identity

NPI1629041322
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MALCOLM S MOORE JR.Credential: M.D.
Location Address1429 OGLETHORPE STMacon, GA 31201-1512
Mailing AddressPo Box 11407Birmingham, AL 35246-8575 · (864) 359-1308 · Fax (239) 496-3939
Fax(478) 743-6296
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1985
Enumeration DateFebruary 12, 2006
Last NPPES UpdateJune 3, 2026
NPPES CertifiedJune 3, 2026
NPI 1629041322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in GA · 031996
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1429 OGLETHORPE ST, Macon, GA 31201

Other Identifiers 2

Other180024624GA · Railroad Medicare
Medicaid00401321AGA

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. Malcolm S Moore Jr. 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 ID4981737947
PECOS Enrollment IDI20100728000878
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.

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.
743 services554 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
625 services623 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
421 services416 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.
398 services252 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
352 services278 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
334 services317 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

99.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.56
Improvement Activities40
Cost100

Referred Medical Equipment & Supplies CMS DME claims 3

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers25 claims25 services$59.73 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims20 services$42.84 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims17 services$56.73 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 7

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

Optometrist
1429 OGLETHORPE ST
MACON, GA 31201
Clinic/Center (Ambulatory Surgical)
1429 OGLETHORPE ST
MACON, GA 31201
Ophthalmology
1429 OGLETHORPE ST
MACON, GA 31201
Ophthalmology
1429 OGLETHORPE ST
MACON, GA 31201
Ophthalmology
1429 OGLETHORPE ST
MACON, GA 31201
Eyewear Supplier
1429 OGLETHORPE ST
MACON, GA 31201
Ophthalmology
1429 OGLETHORPE ST
MACON, GA 31201

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 Malcolm Moore's NPI number?

The NPI number for Malcolm Moore is 1629041322. It was assigned to this individual provider in the NPPES registry on February 12, 2006.

Where is Malcolm Moore located?

Malcolm Moore practices at 1429 Oglethorpe St, Macon, GA 31201. The listed phone number is (478) 743-7061.

What is Malcolm Moore's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Malcolm Moore enrolled in Medicare?

Yes. Malcolm 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 Malcolm Moore accept?

Health plans from Alliant Health Plans, Inc. list Malcolm 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 Malcolm Moore affiliated with any hospitals?

According to CMS data, Malcolm Moore is affiliated with Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for Malcolm Moore was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.