Individual provider Active NPI

Frosty Doyle Randall Moore, M.D.

  • Orthopaedic Surgery Physician
  • Dripping Springs, TX
National Provider Identifier
1073517736
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G1959 Issued in TX
Practice address
13830 Sawyer Ranch Rd
Dripping Springs, TX 78620-5513
Phone
(512) 894-2294
NPI assigned
Jun 10, 2005
Last updated
Oct 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G1959 TX Primary

Addresses

Primary practice location

13830 Sawyer Ranch Rd
Dripping Springs, TX 78620-5513

Mailing address

13830 Sawyer Ranch Rd
Dripping Springs, TX 78620-5513
Phone (512) 894-2294

Other identifiers 3

IdentifierTypeStateIssuer
128726-02MedicaidTX
8M5473OtherTXBC/BS
1286726-06MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080327000141 TX Practitioner - Orthopedic Surgery 9032149604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

7900 FM
Suite 1826
Austin, TX 78737-1407
Phone (512) 324-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement19
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G1959TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Oct 1, 2017 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Seton Family of Doctors CurrentSince Oct 1, 2017 Accepting new patients
Austin Retina Associates PLLC Past Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1401 Medical Pkwy
Ste 120
Cedar Park, TX 78613
Phone (512) 260-3636

13830 Sawyer Ranch Rd
Ste 302
Dripping Springs, TX 78620
Phone (512) 263-5454

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: frosty.moore.1@8363.direct.athenahealth.com
  • Direct secure messaging: hwmfmoore@yourcarecommunity.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1073517736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 SAWYER RANCH RD",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786205513",
            "telephone_number": "512-894-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 SAWYER RANCH RD",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786205513",
            "telephone_number": "512-894-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "FROSTY",
        "middle_name": "DOYLE RANDALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G1959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128726-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8M5473",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1286726-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dripping Springs, TX

Sources for this page

Verify at the official NPI Registry.