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THERESA A MOORE N.P.
NPI 1982687158
Nurse Practitioner in Syracuse, NY

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
94.05/100
CMS Quality Rating
739 IRVING AVE, SUITE 600, SYRACUSE, NY 13210(315) 471-0190(315) 471-0170 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa A Moore N.p. NPPES

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

THERESA A MOORE N.P. (NPI 1982687158) is an individual nurse practitioner in Syracuse, New York, licensed in New York (302160) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1982687158
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHERESA A MOORECredential: N.P.
Location Address739 IRVING AVE, SUITE 600Syracuse, NY 13210-1651
Mailing Address1226 E Water StSyracuse, NY 13210-1155 · (315) 478-4185 · Fax (315) 478-0840
Phone(315) 471-0190
Fax(315) 471-0170
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 22, 2005
Last NPPES UpdateJune 18, 2012
✔ NPI 1982687158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 302160
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
739 IRVING AVE, Syracuse, NY 13210
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Other Identifiers 3

Medicare UPINS51443NY
Other000923428001NY · Healthnow Provider Number
Medicare ID-Type UnspecifiedBB9882NY

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

Theresa A Moore N.p. 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 ID9032279757
PECOS Enrollment IDI20081125000244
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
773 services591 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
551 services486 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
294 services259 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
257 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
190 services183 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
147 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers15 claims2,400 services$0.09 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims700 services$1.85 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers41 claims5,400 services$1.40 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers16 claims50 services$9.39 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims140 services$5.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RACHNA ZIRATH MD
Internal Medicine
739 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Onondaga County (315) 479-5070
DR. SETH EVAN KRONENBERG MD
Internal Medicine
739 IRVING AVE, STE 200
SYRACUSE, NY 13210
Onondaga County (315) 479-5070
MAURA ANN BUTASH FNP
Nurse Practitioner (Family)
739 IRVING AVE, SUITE 400
SYRACUSE, NY 13210
Onondaga County (315) 234-6677
DR. MATTHEW E MARVEL M.D.
Internal Medicine
739 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Onondaga County (315) 479-5070
INTERNIST ASSOCIATES OF CENTRAL NEW YORK, PC
Clinical Medical Laboratory
739 IRVING AVE, SUITE 350
SYRACUSE, NY 13210
Onondaga County (315) 479-5070
MARK H KASOWITZ M.D.
Internal Medicine (Gastroenterology)
739 IRVING AVE, SUITE 400
SYRACUSE, NY 13210
Onondaga County (315) 234-6677
CARLY HORNIS MD
Obstetrics & Gynecology
739 IRVING AVE, SUITE 530
SYRACUSE, NY 13210
Onondaga County (315) 478-1158
CENTRAL NEW YORK SURGICAL PHYSICIANS PC
Surgery
739 IRVING AVE, STE 450
SYRACUSE, NY 13210
Onondaga County (315) 470-7364

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 Theresa Moore's NPI number?

The NPI number for Theresa Moore is 1982687158. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Theresa Moore located?

Theresa Moore practices at 739 Irving Ave Suite 600, Syracuse, NY 13210. The listed phone number is (315) 471-0190.

What is Theresa Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Theresa Moore enrolled in Medicare?

Yes. Theresa 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.

Is Theresa Moore affiliated with any hospitals?

According to CMS data, Theresa Moore is affiliated with Wynn Hospital, Samaritan Medical Center and Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Moore was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.