DR. MARK MOORE PHD
NPI 1669690905
Psychologist - Prescribing (Medical) in Philadelphia, PA

NPI Status: Active since April 23, 2007

Contact Information

230 W WASHINGTON SQ
2ND FLOOR
PHILADELPHIA, PA
ZIP 19106
Phone: (215) 829-6088
Fax: (215) 829-6104

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  • Individual
  • Male
  • Years of Experience 23
  • Psychologist
  • Prescribing (Medical)
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MARK MOORE

This page provides the complete NPI Profile along with additional information for Mark Moore, a provider established in Philadelphia, Pennsylvania with a medical specialization in Psychologist, focusing in prescribing (medical) and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1669690905 assigned on April 2007. The practitioner's primary taxonomy code is 103TP0016X with license number PS015627 (PA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1669690905
Provider Name
DR. MARK MOORE PHD
Gender
Male
Entity Type
Individual
Location Address
230 W WASHINGTON SQ 2ND FLOOR PHILADELPHIA, PA 19106
Location Phone
(215) 829-6088
Location Fax
(215) 829-6104
Mailing Address
230 W WASHINGTON SQ 2ND FLOOR PHILADELPHIA, PA 19106
Mailing Phone
(215) 829-6088
Mailing Fax
(215) 829-6104
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
04-23-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Prescribing (Medical)

Taxonomy Code
103TP0016X
Type
Behavioral Health & Social Service Providers
License No.
PS015627
License State
PA
Taxonomy Description
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
093895MC4MEDICARE ID-TYPE UNSPECIFIED (04)PA 

Medicare Participation & PECOS Enrollment Status

Mark Moore is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Mark Moore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7416989751

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050907000734

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. MARK MOORE PHD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669690905
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26129129090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 2 + 9 + 0 + 9 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1669690905 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

KWABENA ADU NTOSO MD

Internal Medicine

(Nephrology)

230 W WASHINGTON SQ
SUITE 100
PHILADELPHIA, PA
ZIP 19106

(215) 829-8420

JOHN D KOETHE MD

Internal Medicine

(Nephrology)

230 W WASHINGTON SQ
SUITE 100
PHILADELPHIA, PA
ZIP 19106

(215) 829-8420

DR. BERNARD ARTHUR MASON M.D.

Internal Medicine

(Hematology & Oncology)

230 W WASHINGTON SQ
2ND FLOOR
PHILADELPHIA, PA
ZIP 19106

(215) 829-6088

JOSEPH SHAWN MILES M.D.

Internal Medicine

(Cardiovascular Disease)

230 W WASHINGTON SQ
3RD FLOOR
PHILADELPHIA, PA
ZIP 19106

(215) 829-5064

HOWARD L HABER M.D.

Internal Medicine

(Interventional Cardiology)

230 W WASHINGTON SQ
3RD FLOOR
PHILADELPHIA, PA
ZIP 19106

(215) 829-5064

WILLIAM H PENTZ M.D.

Internal Medicine

(Cardiovascular Disease)

230 W WASHINGTON SQ
3RD FLOOR
PHILADELPHIA, PA
ZIP 19106

(215) 829-5064

PATRICIA A LATTA CRNP

Nurse Practitioner

(Family)

230 W WASHINGTON SQ
3RD FLOOR
PHILADELPHIA, PA
ZIP 19106

(215) 829-5064

JANICE M JONES CRNP

Nurse Practitioner

(Adult Health)

230 W WASHINGTON SQ
3RD FLOOR
PHILADELPHIA, PA
ZIP 19106

(215) 829-5064

STEVEN K DOWINSKY M.D.

Internal Medicine

(Cardiovascular Disease)

230 W WASHINGTON SQ
3RD FLOOR
PHILADELPHIA, PA
ZIP 19106

(215) 829-5064

ROBERT B NORRIS M.D.

Internal Medicine

(Cardiovascular Disease)

230 W WASHINGTON SQ
3RD FLOOR
PHILADELPHIA, PA
ZIP 19106

(215) 829-5064

KIMBERLY A BACKSTROM DPT

Physical Therapist

230 W WASHINGTON SQ
5TH FLOOR
PHILADELPHIA, PA
ZIP 19106

(215) 829-7025

MS. DARIA GRAZIA PETRAGLIA MSPT

Physical Therapist

230 W WASHINGTON SQ
5TH FLOOR
PHILADELPHIA, PA
ZIP 19106

(215) 829-7025

PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES PC

Non-Pharmacy Dispensing Site

230 W WASHINGTON SQ
2ND FL
PHILADELPHIA, PA
ZIP 19106

(215) 829-6088

MRS. LISA GILL CRNP

Nurse Practitioner

(Adult Health)

230 W WASHINGTON SQ
3RD FL
PHILADELPHIA, PA
ZIP 19106

(215) 829-5064

WASHINGTON SQUARE ENDOSCOPY CENTER, LLC

Clinic/Center

(Endoscopy)

230 W WASHINGTON SQ
4TH FL
PHILADELPHIA, PA
ZIP 19106

(215) 829-3561

PHGI ASSOCIATES LTD

Specialist

230 W WASHINGTON SQ
4TH FL
PHILADELPHIA, PA
ZIP 19106

(215) 829-3561

PENNSYLVANIA NEPHROLOGY ASSOCIATES, P.C.

Internal Medicine

(Nephrology)

230 W WASHINGTON SQ
SUITE 100
PHILADELPHIA, PA
ZIP 19106

(215) 829-8420

SAMY SIDNEY MIR MD

Internal Medicine

(Cardiovascular Disease)

230 W WASHINGTON SQ
3RD FLOOR
PHILADELPHIA, PA
ZIP 19106

(215) 829-5064

DR. KEVIN SETH STEINBERG M.D.

Internal Medicine

(Interventional Cardiology)

230 W WASHINGTON SQ
FARM JOURNAL BUILDING
PHILADELPHIA, PA
ZIP 19106

(215) 829-5064

MR. BARRY COLEMAN GREENFIELD RPA-C

Physician Assistant

(Medical)

230 W WASHINGTON SQ
5TH FLOOR
PHILADELPHIA, PA
ZIP 19106

(215) 829-3668

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669690905, enumerated in the NPI registry as an "individual" on April 23, 2007

The provider is located at 230 W Washington Sq 2nd Floor Philadelphia, Pa 19106 and the phone number is (215) 829-6088

The provider's speciality is Psychologist with taxonomy code 103TP0016X with a focus in Prescribing (Medical)

The provider has more than 23 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on April 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.