1. Home
  2. Directory
  3. New York
  4. Port Jefferson Station
  5. Pediatrics
  6. NPI Profile

DR. KERRY BRIGID MOORE M.D.
NPI 1891973426
Pediatrics in Port Jefferson Station, NY

Active since February 06, 2008PECOS Enrolled
815 HALLOCK AVE, SUITE A, PORT JEFFERSON STATION, NY 11776(631) 331-7267(631) 331-7267 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kerry Brigid Moore M.d. NPPES

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

DR. KERRY BRIGID MOORE M.D. (NPI 1891973426) is an individual pediatrics provider in Port Jefferson Station, New York, licensed in New York (183552) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891973426
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KERRY BRIGID MOORECredential: M.D.
Location Address815 HALLOCK AVE, SUITE APort Jefferson Station, NY 11776-1220
Mailing Address52 Annandale RdStony Brook, NY 11790-2410 · (631) 246-6220 · Fax (631) 246-6220
Phone(631) 331-7267
Fax(631) 331-7267
Sole ProprietorYes
Enumeration DateFebruary 6, 2008
✔ NPI 1891973426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 183552
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
815 HALLOCK AVE, Port Jefferson Station, NY 11776
Open in Google Maps ↗

Other Names 1

Other Name (5)Kerry Moore Scriven

Other Identifiers 2

Medicaid01500581NY
Medicare UPINF75023NY

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. Kerry Brigid Moore M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 11

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

LINDA WYNNE RPAC
Physician Assistant (Medical)
815 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-7267
MRS. DEBORAH ANN KACHERSKI N.P.
Nurse Practitioner (Family)
815 HALLOCK AVE, SUITE B
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 928-9355
LINDSAY M COMO RPAC
Physician Assistant
815 HALLOCK AVE, SUITE A
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-7267
KIDS FIRST PEDIATRICS, PC
Pediatrics
815 HALLOCK AVE, SUITE A
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-7267
MRS. KELLY ANN HARSCH NP
Nurse Practitioner (Family)
815 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 828-3036
DR. DAMIAN FORLETTI M.D.
Pediatrics
815 HALLOCK AVE, SUITE A
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-7267
DR. MAGDALENA M OLESZAK MD
Pediatrics
815 HALLOCK AVE, SUITE A
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-7267
THUSHANTHI SHANILA PERERA M.D.
Pediatrics
815 HALLOCK AVE, SUITE A
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-7267

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 Kerry Moore's NPI number?

The NPI number for Kerry Moore is 1891973426. It was assigned to this individual provider in the NPPES registry on February 6, 2008. The provider is also known as Kerry Moore Scriven.

Where is Kerry Moore located?

Kerry Moore practices at 815 Hallock Ave Suite A, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-7267.

What is Kerry Moore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kerry Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kerry Moore was last updated on February 6, 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.