1. Home
  2. Directory
  3. Maryland
  4. Upper Marlboro
  5. Internal Medicine
  6. NPI Profile

DR. KRAIG DEWITT MOORE M.D.
NPI 1790957983
Internal Medicine - Medical Oncology in Upper Marlboro, MD

Active since March 27, 2008PECOS Enrolled
13008 CLOVERLY DR, UPPER MARLBORO, MD 20774(240) 449-5102 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Kraig Dewitt Moore M.d. NPPES

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

DR. KRAIG DEWITT MOORE M.D. (NPI 1790957983) is an individual medical oncology provider in Upper Marlboro, Maryland, licensed in Maryland (D0062906) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1992).

NPPES Registry Identity

NPI1790957983
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. KRAIG DEWITT MOORECredential: M.D.
Location Address13008 CLOVERLY DRUpper Marlboro, MD 20774-1904
Mailing Address13008 Cloverly DrUpper Marlboro, MD 20774-1904 · (240) 449-5102
Phone(240) 449-5102
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 1992
Enumeration DateMarch 27, 2008
✔ NPI 1790957983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in MD · D0062906
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
13008 CLOVERLY DR, Upper Marlboro, MD 20774
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kraig Dewitt Moore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981741063
PECOS Enrollment IDI20100614000282
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20774 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
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 Kraig Moore's NPI number?

The NPI number for Kraig Moore is 1790957983. It was assigned to this individual provider in the NPPES registry on March 27, 2008.

Where is Kraig Moore located?

Kraig Moore practices at 13008 Cloverly Dr, Upper Marlboro, MD 20774. The listed phone number is (240) 449-5102.

What is Kraig Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Kraig Moore enrolled in Medicare?

Yes. Kraig Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kraig Moore was last updated on March 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.