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SUSAN J MOORE MD
NPI 1912982661
Pediatrics in Erie, PA

Active since December 14, 2005PECOS Enrolled
4247 W RIDGE RD STE 105, ERIE, PA 16506(814) 838-2468(814) 835-2599 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan J Moore Md NPPES

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

SUSAN J MOORE MD (NPI 1912982661) is an individual pediatrics provider in Erie, Pennsylvania, licensed in Pennsylvania (MD044660E) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912982661
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUSAN J MOORECredential: MD
Location Address4247 W RIDGE RD STE 105Erie, PA 16506-1746
Mailing Address4247 W Ridge Rd Ste 105Erie, PA 16506-1746 · (814) 838-2468 · Fax (814) 835-2599
Phone(814) 838-2468
Fax(814) 835-2599
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1912982661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD044660E
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.
4247 W RIDGE RD STE 105, Erie, PA 16506
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan J 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 Reassignment

Medicare enrollment records show Susan Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincent Medical Education And Research Institute Inc
5.3 mi
Internal Medicine
2314 SASSAFRAS ST, 2ND FLOOR - ADMIN OFFICE
Erie, PA 16502
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 483 clinicians in this Medicare group
NPI 1902881477 (814) 452-5043

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 16506 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

DIVYA KORADIA MD
Family Medicine
4247 W RIDGE RD STE 105
ERIE, PA 16506
Erie County (814) 838-2468
ASHLEY KALINOWSKI NP
Nurse Practitioner (Family)
4247 W RIDGE RD STE 105
ERIE, PA 16506
Erie County (814) 838-2468
CHRISTINE S HUMPHREY MD
Family Medicine
4247 W RIDGE RD STE 105
ERIE, PA 16506
Erie County (148) 838-2468
MAGGIE HO
Nurse Practitioner
4247 W RIDGE RD STE 105
ERIE, PA 16506
Erie County (814) 838-2468
MAKAYLA GLOVER PA-C
Physician Assistant
4247 W RIDGE RD STE 105
ERIE, PA 16506
Erie County (814) 833-3002
MARK A LEONE DO
Family Medicine
4247 W RIDGE RD STE 105
ERIE, PA 16506
Erie County (814) 838-2468
KELLY SAKOIAN
Nurse Practitioner
4247 W RIDGE RD STE 105
ERIE, PA 16506
Erie County (814) 838-2468
NATALIE MICHELLE GROW RD, LDN
Dietitian, Registered
4247 W RIDGE RD STE 105
ERIE, PA 16506
Erie County (814) 838-2468

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 Susan Moore's NPI number?

The NPI number for Susan Moore is 1912982661. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Susan Moore located?

Susan Moore practices at 4247 W Ridge Rd Ste 105, Erie, PA 16506. The listed phone number is (814) 838-2468.

What is Susan Moore's specialty?

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

Is Susan Moore enrolled in Medicare?

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

Which organization bills Medicare for Susan Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Moore reassigns Medicare benefits to St Vincent Medical Education And Research Institute Inc (Erie, PA). The 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 Susan 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 Susan Moore was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.