CANDIE J ROSS-MOORE NP
NPI 1760488076
Nurse Practitioner - Gerontology in Asheville, NC


Quality Rating: 93.23 out of 100 score

NPI Status: Active since June 22, 2005

Contact Information

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803
Phone: (828) 257-4730

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  • Individual
  • Female
  • Nurse Practitioner
  • Gerontology
  • Accepts Insurance
  • PECOS Enrolled

About CANDIE ROSS-MOORE

This page provides the complete NPI Profile along with additional information for Candie Ross-moore, a provider established in Asheville, North Carolina with a medical specialization in Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1760488076 assigned on June 2005. The practitioner's primary taxonomy code is 363LG0600X with license number 5009670 (NC). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1760488076
Provider Name
CANDIE J ROSS-MOORE NP
Gender
Female
Entity Type
Individual
Location Address
123 HENDERSONVILLE RD ASHEVILLE, NC 28803
Location Phone
(828) 257-4730
Mailing Address
123 HENDERSONVILLE RD ASHEVILLE, NC 28803
Mailing Phone
(828) 257-4730
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
06-22-2005
Last Update Date
05-04-2018
Code Navigator

A nurse practitioner (NP) like Candie Ross-moore is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 415 Glenmeadow Dr
    Ballwin, MO 63011
    (636) 527-4772

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

Nurse Practitioner Gerontology

Taxonomy Code
363LG0600X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5009670
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LG0600XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Gerontology

088713 (MO)

Insurance Plans Accepted

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

  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with Atrium Health - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with Atrium Health - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with Atrium Health - HMO
  • Gold Elite Saver Plus - HMO
  • Gold Elite Saver Plus | with Atrium Health - HMO

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
428628812MEDICAID (05)MO 
1760488076MEDICAID (05)NC 

Medicare Participation & PECOS Enrollment Status

Candie Ross-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, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

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

  • 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): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes

This refers to a routine medical visit for an established patient living in a group care facility, custodial care, or assisted living. The visit typically lasts 25 minutes and includes a check-up and discussion about ongoing healthcare needs.

This service was performed 27 times for 18 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 29 times for 25 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 24 times for 19 patients

Follow-up nursing facility visit per day, typically 15 minutes

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

This service was performed 50 times for 28 patients

Follow-up nursing facility visit per day, typically 25 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 112 times for 53 patients

Follow-up nursing facility visit per day, typically 35 minutes

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

This service was performed 31 times for 25 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 28803 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.9
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $20.97
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.94
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $23.98
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.23, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 93.23 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 84.59

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 98.27

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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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.
1760488076
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271208816014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 8 + 8 + 1 + 6 + 0 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1760488076 is valid because the calculated check digit 6 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.

DR. SUZANNE LANDIS M.D.

Internal Medicine

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4730

ERICA WILSON M.D.

Student in an Organized Health Care Education/Training Program

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4400

DR. BRYANT ALAN WARD MD

Family Medicine

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4730

RONNIE L JACOBS MD

Internal Medicine

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4730

MS. PAI LIU M.D.

Internal Medicine

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 258-0670

KATHLEEN ELLEN ZURICH PA-C

Physician Assistant

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4730

DR. DAVID ALEXANDER WHITLOW DDS

Student in an Organized Health Care Education/Training Program

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 252-4290

DANIEL LANDON ALLEN MD

Family Medicine

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 258-0608

MALLORY HARRIS D.M.D.

Student in an Organized Health Care Education/Training Program

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 771-3415

MARGARET CHASTAIN WESHNER PSY.D

Psychologist

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4730

RICHARD STAKE SHIELDS DDS

Dentist

(General Practice)

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 252-4290

VEENA SOMANI MD

Family Medicine

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4730

FRED B STICHEL R.D., L.D.N.

Dietitian, Registered

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4730

BRIDGET E SWOPE DDS

Student in an Organized Health Care Education/Training Program

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 771-3415

DANIEL JAMES FRAYNE M.D.

Family Medicine

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4730

DR. ROBYN A. LATESSA M.D.

Family Medicine

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4730

MS. MELISSA MAXINE HICKS MD

Family Medicine

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4730

DR. LISA A LAVALLEE MD

Family Medicine

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4730

DR. ERNEST BLAKE FAGAN MD

Family Medicine

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 258-0670

DR. STEPHEN DAVID HULKOWER MD

Family Medicine

123 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803

(828) 257-4730

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760488076, enumerated as an "individual" on June 22, 2005.

The provider is located at 123 HENDERSONVILLE RD ASHEVILLE, NC 28803 and the phone number is (828) 257-4730.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: AmeriHealth Caritas Next, Blue Cross and Blue. Please consult your insurance carrier or call the provider to verify.