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SHANE EDWARD MOORE DO
NPI 1982224796
Surgery in Prescott Valley, AZ

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment
7700 E FLORENTINE RD STE 203, PRESCOTT VALLEY, AZ 86314(928) 708-4310(928) 548-2164 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2025, Apr 22, 2020 (2 updates tracked since 2020).

About Shane Edward Moore Do NPPES

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

SHANE EDWARD MOORE DO (NPI 1982224796) is an individual surgery provider in Prescott Valley, Arizona, licensed in Arizona (011620) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2020).

NPPES Registry Identity

NPI1982224796
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSHANE EDWARD MOORECredential: DO
Location Address7700 E FLORENTINE RD STE 203Prescott Valley, AZ 86314-2245
Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (602) 406-4786 · Fax (916) 636-4358
Phone(928) 708-4310
Fax(928) 548-2164
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2020
Enumeration DateApril 22, 2020
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1982224796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 011620
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7700 E FLORENTINE RD STE 203, Prescott Valley, AZ 86314
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Shane Edward Moore Do 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 ID7113432543
PECOS Enrollment IDI20250715002511
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 86314 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Shane Moore's NPI number?

The NPI number for Shane Moore is 1982224796. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Shane Moore located?

Shane Moore practices at 7700 E Florentine Rd Ste 203, Prescott Valley, AZ 86314. The listed phone number is (928) 708-4310.

What is Shane Moore's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shane Moore enrolled in Medicare?

Yes. Shane Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shane Moore accept?

Health plans from Blue Cross Blue Shield of Arizona list Shane Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Moore was last updated on June 3, 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.