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SHORN D MCMOORE DDS
NPI 1720286362
Dentist - General Practice in Charlottesville, VA

Active since July 05, 2007PECOS Enrolled
277 HYDRAULIC RIDGE RD STE 205, CHARLOTTESVILLE, VA 22901(434) 465-2153(434) 956-4141 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2025, Oct 9, 2024 (2 updates tracked since 2024).

About Shorn D Mcmoore Dds NPPES

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

SHORN D MCMOORE DDS (NPI 1720286362) is an individual general practice provider in Charlottesville, Virginia, licensed in Virginia (0401411831) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1720286362
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSHORN D MCMOORECredential: DDS
Location Address277 HYDRAULIC RIDGE RD STE 205Charlottesville, VA 22901-8127
Mailing Address401 Beecham DrRichmond, VA 23227-1302 · (804) 918-0069
Phone(434) 465-2153
Fax(434) 956-4141
Sole ProprietorYes
Enumeration DateJuly 5, 2007
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1720286362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401411831
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 12642 (TN)
277 HYDRAULIC RIDGE RD STE 205, Charlottesville, VA 22901
Open in Google Maps ↗

Secondary Practice Location 1

Location 13904 Hull Street Rd Ste ARichmond, VA 23224-1714 · Phone (804) 233-0007

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shorn D Mcmoore Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Shorn Mcmoore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Matthew Walker Comprehensive Health Center, Inc
468 mi
Federally Qualified Health Center (FQHC)
739 PRESIDENT PL, SUITE 100
Smyrna, TN 37167
  • Reassigned Medicare billing, Tennessee enrollment
  • 27 clinicians in this Medicare group
NPI 1174839781 (615) 984-4290

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22901 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Shorn Mcmoore's NPI number?

The NPI number for Shorn Mcmoore is 1720286362. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Shorn Mcmoore located?

Shorn Mcmoore practices at 277 Hydraulic Ridge Rd Ste 205, Charlottesville, VA 22901. The listed phone number is (434) 465-2153.

What is Shorn Mcmoore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shorn Mcmoore enrolled in Medicare?

Yes. Shorn Mcmoore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shorn Mcmoore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shorn Mcmoore reassigns Medicare benefits to Matthew Walker Comprehensive Health Center, Inc (Smyrna, TN). 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 Shorn Mcmoore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shorn Mcmoore accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and DentaQuest and 7 other insurers list Shorn Mcmoore 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.

When was this NPI record last updated?

The NPPES record for Shorn Mcmoore was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.