Active NPI
Daniel Benjamin Moore, M.D.
- Glaucoma Specialist (Ophthalmology) Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- 46264
- Practice address
- 110 Conn Ter Ste 550
Lexington, KY 40508-3206 - Phone
- (859) 323-5867
- NPI assigned
- Jul 29, 2008
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2012-00548 | NC | |
| Ophthalmology Physician | 207W00000X | 46264 | KY | |
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | 46264 | KY | Primary |
Addresses
Primary practice location
110 Conn Ter Ste 550
Lexington, KY 40508-3206
Mailing address
110 Conn Ter Ste 550
Lexington, KY 40508-3206
Phone (859) 323-5867
Other practice location 1
740 S Limestone
Lexington, KY 40536-0284
Phone (859) 323-5867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100247340 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
- Ophthalmology
- Education
- Indiana University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Fortress Properties St
Suite 3
London, KY 40741-3144
Phone (606) 877-1877
100 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 257-9800
101 Sanders-Brown BLDG
Lexington, KY 40536-0001
Phone (859) 257-1412
2400 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 323-7426
303 Langdon St
Somerset, KY 42503-2750
Phone (606) 679-7461
305 Langdon St
Somerset, KY 42503-2750
Phone (606) 679-7441
800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000
830 S Limestone
Lexington, KY 40536-0001
Phone (859) 323-0303
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 68.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-00548 | NC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Ophthalmology | Current | Accepting new patients |
Locations
65 E City Dam Rd
Corbin, KY 40701
Phone (606) 528-9393
601 Perimeter Dr
Ste 100
Lexington, KY 40517
Phone (859) 268-1201
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
Interoperability endpoints
- daniel.moore.p1@direct.kyeyeinst.nextgenshare.com
- dmoore26742@ukhcdirect.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Ophthalmology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1356506463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CONN TER STE 550",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405083206",
"telephone_number": "859-323-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CONN TER STE 550",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405083206",
"telephone_number": "859-323-5867"
}
],
"practiceLocations": [
{
"address_1": "740 S Limestone",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360284",
"country_code": "US",
"telephone_number": "859-323-5867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "DANIEL",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "2012-00548",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "46264",
"primary": false
},
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "KY",
"license": "46264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100247340",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.