Individual provider Active NPI

Allen Ryves Moore, M.D.

  • Orthopaedic Surgery Physician
  • Oxford, MS
National Provider Identifier
1225471246
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
26559 Issued in MS
Practice address
100 Baptist Memorial Cir Ste 330
Oxford, MS 38655-4477
Phone
(662) 767-4200
Fax
(662) 767-4204
NPI assigned
Apr 9, 2013
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Orthopaedic Surgery Physician 207X00000X MD.36865 AL
Orthopaedic Surgery Physician 207X00000X 26559 MS Primary

Addresses

Primary practice location

100 Baptist Memorial Cir Ste 330
Oxford, MS 38655-4477

Mailing address

1211 S Gloster St Ste a
Tupelo, MS 38801-6548
Phone (662) 767-4200

Other practice location 1

118 Fairfield Dr
New Albany, MS 38652-3107
Phone (662) 767-4200

Other practice location 2

1211 S Gloster St Ste A
Tupelo, MS 38801-6548
Phone (662) 767-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20191202000078 MS Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 9830335595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Mississippi School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Baptist Memorial Cir
Suite 330
Oxford, MS 38655-4477
Phone (662) 767-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)22
Upper limb (arm) arthroscopy (minimally invasive joint repair)73
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.36865ALMDOrthopaedic Surgery Physician
26559MSMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
Specialty Orthopedic Group of Ms, PLLC Orthopaedic Surgery CurrentSince Jul 31, 2019 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC Orthopaedic Surgery Current Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC Orthopaedic Surgery CurrentSince Jul 31, 2019 Accepting new patients

Locations

118 Fairfield Dr
New Albany, MS 38652
Phone (662) 534-0898

203 W Bankhead St
New Albany, MS 38652

100 Baptist Memorial Cir
Ste 330
Oxford, MS 38655
Phone 6627674200 ext. 1057

723 Concordia Ave
Oxford, MS 38655

118 Highway 12 W
Starkville, MS 39759
Phone (662) 324-8070

1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380

Interoperability endpoints

  • Direct secure messaging: allenmoore@nmhs.medalliesdirect.net

Organizations & group practices 4

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 6

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1225471246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S GLOSTER ST STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016548",
            "telephone_number": "662-767-4200",
            "fax_number": "627-674-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAPTIST MEMORIAL CIR STE 330",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554477",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Fairfield Dr",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523107",
            "country_code": "US",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 S Gloster St Ste A",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016548",
            "country_code": "US",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALLEN",
        "middle_name": "RYVES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.36865",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "26559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.