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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: August 02, 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, maintains a secondary practice location in Rochester, and is a graduate of University Of Alabama School Of Medicine (2020).

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
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2020
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Johnston Lewis Moore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052725264
PECOS Enrollment IDI20250729000426
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 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.

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 11 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.