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DR. JOHNSTON LEWIS MOORE MD
NPI 1821618224
Psychiatry & Neurology - Psychiatry in Lyons, NY

Active since April 26, 2020PECOS Enrolled

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Johnston Lewis Moore Md NPPES

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

DR. JOHNSTON LEWIS MOORE MD (NPI 1821618224) is an individual psychiatry provider in Lyons, New York, licensed in New York (319354) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1821618224
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JOHNSTON LEWIS MOORECredential: MD
Location Address1519 NYE RDLyons, NY 14489-9133
Mailing Address1519 Nye RdLyons, NY 14489-9133 · (315) 946-5722
Phone(315) 946-5722
Sole ProprietorNo
Enumeration DateApril 26, 2020
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1821618224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 319354
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1519 NYE RD, Lyons, NY 14489
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Crittenden Blvd Box PsychRochester, NY 14642-0001 · Phone (585) 275-6723

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Johnston Lewis Moore Md 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 Reassignments

3

Medicare enrollment records show Johnston Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Wayne
Same address
Mental Health (Including Community Mental Health Center)
1519 NYE ROAD
Lyons, NY 14489
  • Reassigned Medicare billing, New York enrollment
  • 39 clinicians in this Medicare group
NPI 1003824855 (315) 946-5722
University Of Rochester
30 mi
General Practice
625 ELMWOOD AVE, BOX 683
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1982787537 (585) 275-5022
University Of Rochester Department Of Psychiatry Clinical Group
31 mi
Psychiatry
300 CRITTENDEN BLVD
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1326088808 (585) 275-6733

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 14489 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 20

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

MS. WENDY N. WEBSTER BA, CASAC, LMHC
Counselor (Mental Health)
1519 NYE RD
LYONS, NY 14489
Wayne County (315) 946-5722
MORGAN WADSWORTH
Peer Specialist
1519 NYE RD
LYONS, NY 14489
Wayne County (315) 946-5750
FRANCIS MODAFFARI CASAC
Counselor (Addiction (Substance Use Disorder))
1519 NYE RD
LYONS, NY 14489
Wayne County (315) 946-5722
JACK B BICKFORD
Counselor (Mental Health)
1519 NYE RD
LYONS, NY 14489
Wayne County (315) 946-5722
MRS. DENISE DELPAPA RN
Registered Nurse (Home Health)
1519 NYE RD, SUITE 200
LYONS, NY 14489
Wayne County (315) 946-5749
SAMANTHA MINNS
Counselor
1519 NYE RD
LYONS, NY 14489
Wayne County (315) 946-5722
PAMELA S TAYLOR RN, BSN
Registered Nurse (Home Health)
1519 NYE RD, SUITE 200
LYONS, NY 14489
Wayne County (315) 946-5749
ANGELINA PEARSON
Case Manager/Care Coordinator
1519 NYE RD
LYONS, NY 14489
Wayne County (315) 946-5722

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 Johnston Moore's NPI number?

The NPI number for Johnston Moore is 1821618224. It was assigned to this individual provider in the NPPES registry on April 26, 2020.

Where is Johnston Moore located?

Johnston Moore practices at 1519 Nye Rd, Lyons, NY 14489. The listed phone number is (315) 946-5722.

What is Johnston Moore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Johnston Moore enrolled in Medicare?

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

Which organizations bill Medicare for Johnston Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnston Moore reassigns Medicare benefits to 3 organizations: County Of Wayne (Lyons, NY), University Of Rochester (Rochester, NY) and University Of Rochester Department Of Psychiatry Clinical Group (Rochester, NY). Each 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 Johnston Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Johnston Moore was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.