NPIMap

Individual provider Active NPI

Ryan E Moore, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Saint Helena, CA
National Provider Identifier
1528266202
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
A126952 Issued in CA
Practice address
6 Woodland Rd Ste 202
Saint Helena, CA 94574
Phone
(707) 968-0670
NPI assigned
Jul 5, 2007
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X A126952 CA Primary

Addresses

Primary practice location

6 Woodland Rd Ste 202
Saint Helena, CA 94574

Mailing address

6 Woodland Rd Ste 202
Saint Helena, CA 94574-9501
Phone (707) 968-0670

Other practice location 1

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 967-5991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131231001036 CA Practitioner - Orthopedic Surgery 2365670056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Perelman School of Med at the University of Pennsylvania, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Helena HospitalGroup PAC ID 8729059878, 85 clinicians

Practice addresses (Care Compare)

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 967-5721

6 Woodland Rd
Saint Helena, CA 94574-9501

6 Woodland Rd St
Suite 301
Saint Helena, CA 94574-9501
Phone (707) 967-9307

913 Washington St
Calistoga, CA 94515-1433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Merit-based Incentive Payment System (MIPS)

Final score
85.91 of 100Reported as group
Quality
75.49
Promoting interoperability
94
Improvement activities
40
Cost
73.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement108
Knee replacement255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126952CAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 1, 2017 Accepting new patients
St. Helena Hospital CurrentSince Oct 21, 2013 Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 1, 2017 Accepting new patients
St. Helena Hospital CurrentSince Oct 21, 2013 Accepting new patients
Adventist Health Clearlake Hospital Inc. Past Accepting new patients

Locations

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

821 Saint Helena Hwy S
#208
Saint Helena, CA 94574

999 Adams St
Ste 106
Saint Helena, CA 94574
Phone (707) 963-4997

Organizations & group practices 6

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 7

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1528266202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOODLAND RD STE 202",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749501",
            "telephone_number": "707-968-0670",
            "fax_number": "707-968-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WOODLAND RD STE 202",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "94574",
            "telephone_number": "707-968-0670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Woodland Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Helena",
            "state": "CA",
            "postal_code": "945749554",
            "country_code": "US",
            "telephone_number": "707-967-5991",
            "fax_number": "707-968-9580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RYAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "A126952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.