Carolyn Moore, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30072 Issued in KY

Practice address

155 Bricklayer Street
Olive Hill, KY 41164

Phone

(606) 286-4152

Fax

(606) 286-2385

NPI assigned

Nov 7, 2005

Last updated

Sep 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Virginia Commonwealth University, School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

Merit-based Incentive Payment System (MIPS)

Final score

73.64 of 100Reported as group

Quality

56.63

Improvement activities

40

Cost

74.98

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carolyn.moore.1@17066.direct.athenahealth.com

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.

• St Claire Medical Center, Inc.,

  dba St Claire Regional Medical Center

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1821168535

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Black & Carpenter PSC

  dba Morehead Clinic

  • Internal Medicine Physician
  • Morehead, KY
  • NPI 1770557936

  Family Medicine

  NPD
• St Claire Medical Center, Inc

  dba St Claire Healthcare Urgent Care

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1477236487
  NPD
• St Claire Medical Center, Inc.,

  • Cardiovascular Disease Physician
  • Morehead, KY
  • NPI 1740581198

  Family Medicine

  NPD
• St Claire Regional Radiology Physicians Services

  • Diagnostic Radiology Physician
  • Morehead, KY
  • NPI 1710987508
  NPD
• St. Claire Medical Center, Inc

  • Rural Health Clinic/Center
  • Owingsville, KY
  • NPI 1134180920
  NPD
• St. Claire Medical Center, Inc

  • Family Medicine Physician
  • Morehead, KY
  • NPI 1326009044
  NPD
• St. Claire Medical Center,Inc

  • Rural Health Clinic/Center
  • Sandy Hook, KY
  • NPI 1447212493
  NPD
• St. Claire Medical Center,Inc

  • Rural Health Clinic/Center
  • Olive Hill, KY
  • NPI 1639131527
  NPD
• St. Claire Medical Center, Inc

  dba St. Claire Regional Family Medicine-Olive Hill

  • Rural Health Clinic/Center
  • Olive Hill, KY
  • NPI 1285771667
  NPD (past)

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

• St Claire Medical Center Inc

  dba Cave Run Surgical Specialists

  • Surgery Physician
  • Morehead, KY
  • NPI 1053465666

  Hospital

  Care Compare affiliation
• St Claire Medical Center Inc

  dba St Claire Regional Medical Center

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1124078696
  Care Compare affiliation
• St Claire Medical Center, Inc

  dba St. Claire Family Care Clinic

  • Clinic/Center
  • Morehead, KY
  • NPI 1689012775

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1578544672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411641268",
            "telephone_number": "606-286-4152",
            "fax_number": "606-286-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BRICKLAYER STREET",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "41164",
            "telephone_number": "606-286-4152",
            "fax_number": "606-286-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAROLYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "30072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080069346",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080096401",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080099911",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080077589",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64300726",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080104514",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Little Sandy District Health Department (Adolescent Health Center)
• Little Sandy District Health Department (West Carter High School Health Center)
• Clarence Franklin Lyons Jr., D.O.
• Elizabeth L Matera, MD
• Richard Wayne McCrocklin, RPH
• Brittany Muse
• William Neice, PTA
• Northeast Kentucky Community Action Agency
• Obrien Chiropractic PSC
• Owen Pharmacist Group LLC (Med-Save Carter)

• Family Medicine Physician in Olive Hill, KY
• Providers in Olive Hill, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.