Brian Moore, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35124097 Issued in OH

Practice address

1611 South Green Road
Suite 146
South Euclid, OH 44121-4121

Phone

(216) 382-3806

Fax

(216) 382-6735

NPI assigned

Jun 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Dermatology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Dermatology and Skin Surgery Center, LLCGroup PAC ID 1052589777, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Forbes Hospital Hospital, Monroeville, PA, CCN 390267

Merit-based Incentive Payment System (MIPS)

Final score

85.28 of 100Reported as group

Quality

78.38

Promoting interoperability

92

Improvement activities

40

Cost

79.23

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bmoore@apexskin.emadirect.md

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

• Apex Dermatology and Skin Surgery Center, LLC

  • Dermatology Physician
  • Mayfield Heights, OH
  • NPI 1689973638
  Medicare reassignment Care Compare group NPD
• Gary R Kutsikovich MD and Associates Inc

  • Neurology Physician
  • Mentor, OH
  • NPI 1841250420
  NPD (past)
• SCH Professional Corporation

  • Family Medicine Physician
  • Salem, OH
  • NPI 1619959822
  NPD (past)

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

• West Penn Allegheny Health System Inc.

  • General Acute Care Hospital
  • Monroeville, PA
  • NPI 1679592380
  Care Compare affiliation

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1346402575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SOUTH GREEN ROAD",
            "address_2": "SUITE 146",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214121",
            "telephone_number": "216-382-3806",
            "fax_number": "216-382-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SOUTH GREEN ROAD",
            "address_2": "SUITE 146",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214121",
            "telephone_number": "216-382-3806",
            "fax_number": "216-382-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35124097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falisha Mitchell
• Steven Mitchell, R.PH.
• Mitchell'S Quality Home Care
• Angelique Molina, LPN
• Vicki Moore Holzhauer, LISW-S
• Sherrod Defloy Morehead, PHD
• Mary Morgan
• Hadley Scott Morgenstern-Clarren, M.D.
• Antoinette Morris
• Edith Marry Morris

• Dermatology Physician in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.

Verify at the official NPI Registry.