Active NPI
Allen Ryves Moore, M.D.
- Orthopaedic Surgery Physician
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 26559
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- 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
- Centerwell Home Health
- Baptist Memorial Hospital North Ms
- Bolivar Medical Center
- BMH-Calhoun
- Pontotoc Health Service Inc Cah
- North Mississippi Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 22 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 73 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.36865 | AL | MD | Orthopaedic Surgery Physician |
| 26559 | MS | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients | |
| Specialty Orthopedic Group of Ms, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Specialty Orthopedic Group of Mississippi PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Specialty Orthopedic Group of Mississippi PLLC | Orthopaedic Surgery | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1639553506
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Orthopaedic Surgery Physician
- Senatobia, MS
- NPI 1801491352
-
dba Specialty Orthopedic Group
- Orthopaedic Surgery Physician
- New Albany, MS
- NPI 1467000927
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
- Critical Access Hospital
- Calhoun City, MS
- NPI 1881142461
-
dba CenterWell Home Health
- Home Health Agency
- Tupelo, MS
- NPI 1972509099
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
-
dba Bolivar Medical Center
- General Acute Care Hospital
- Cleveland, MS
- NPI 1457321036
-
dba Pontotoc Health Services CAH
- Critical Access Hospital
- Pontotoc, MS
- NPI 1821103516
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.