CHARLES ROBERT MOORE MD
NPI 1801058821
Urology in Hattiesburg, MS

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
89.76/100
CMS Quality Rating
139 FAIRFIELD DR, HATTIESBURG, MS 39402(601) 450-2417(601) 450-2434 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charles Robert Moore Md NPPES

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

CHARLES ROBERT MOORE MD (NPI 1801058821) is an individual urology provider in Hattiesburg, Mississippi, licensed in Mississippi (20677) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with South Central Reg Med Ctr, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2003).

NPPES Registry Identity

NPI1801058821
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameCHARLES ROBERT MOORECredential: MD
Location Address139 FAIRFIELD DRHattiesburg, MS 39402-1303
Mailing Address139 Fairfield DrHattiesburg, MS 39402-1303 · (601) 450-2417 · Fax (601) 450-2434
Fax(601) 450-2434
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2003
Enumeration DateJune 30, 2008
Last NPPES UpdateOctober 24, 2011
NPI 1801058821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MS · 20677
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN#12298 (FL)
139 FAIRFIELD DR, Hattiesburg, MS 39402

Other Identifiers 2

Medicare UPIN302I340620
Medicaid05137554MS

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

Charles Robert Moore Md 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 ID2769535574
PECOS Enrollment IDI20090727000543
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 27

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
4,400 services43 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
938 services476 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
621 services422 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
489 services311 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
310 services212 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
156 services22 patients

Hospital Affiliations CMS Care Compare 4

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

South Central Reg Med Ctr

Acute Care Hospitals · Laurel, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250058
Location1220 Jefferson St Box 607Laurel, MS 39440 · Jones County
Emergency services Birthing friendly

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Merit Health Wesley

Acute Care Hospitals · Hattiesburg, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250094
Location5001 W Hardy StHattiesburg, MS 39402 · Lamar County
Emergency services Birthing friendly

Covington County Hospital Cah

Critical Access Hospitals · Collins, MS
OwnershipGovernment - Local
CMS Certification Number251325
Location701 South Holly AvenueCollins, MS 39428 · Covington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

89.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
35%175 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
56%753 patients3/55-star benchmark: 85%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier17 claims3,000 services$1.55 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 12

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

Anesthesiology
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Surgery
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Specialist
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Specialist
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Surgery
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Anesthesiology
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Nurse Anesthetist, Certified Registered
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Specialist
139 FAIRFIELD DR
HATTIESBURG, MS 39402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801058821, enumerated as an "individual" on June 30, 2008.

The provider is located at 139 FAIRFIELD DR HATTIESBURG, MS 39402 and the phone number is (601) 450-2417.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Charles Moore is affiliated with: SOUTH CENTRAL REG MED CTR, FORREST GENERAL HOSPITAL, MERIT HEALTH WESLEY and COVINGTON COUNTY HOSPITAL CAH.