Individual provider Active NPI

Lily Lee Moore, DPM

  • Podiatrist
  • Asheville, NC
National Provider Identifier
1609943703
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
477 Issued in NC
Practice address
136 Mimosa Dr
Asheville, NC 28806-1719
Phone
(828) 350-1880
Fax
(828) 252-2272
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 477 NC
Podiatrist 213E00000X 477 NC Primary

Addresses

Primary practice location

136 Mimosa Dr
Asheville, NC 28806-1719

Mailing address

136 Mimosa Dr
Asheville, NC 28806-1719
Phone (828) 350-1880

Other identifiers 2

IdentifierTypeStateIssuer
08088OtherBCBS
8908088MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210001173 NC Practitioner - Podiatry 0648163360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Foot and Ankle Specialists PAGroup PAC ID 1658264379, 3 clinicians

Practice addresses (Care Compare)

136 Mimosa Dr
Asheville, NC 28806-1719
Phone 8283501880107

Hospital & facility affiliations

  • Carepartners Home Health Services Home health agency, Asheville, NC, CCN 347083
  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
  • Adventhealth Hendersonville Hospital, Hendersonville, NC, CCN 340023

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue117
Removal of nail tissue235
Removal or shaving of skin growth53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Guilford Foot Center PA Foot Surgery Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
P&J Foot Care Centers PC PastSince Sep 1, 2005 Accepting new patients
Valley Podiatry PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lmoore@moorefootandankle.emadirect.md

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1609943703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MIMOSA DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061719",
            "telephone_number": "828-350-1880",
            "fax_number": "828-252-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MIMOSA DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061719",
            "telephone_number": "828-350-1880",
            "fax_number": "828-252-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LILY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "477",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08088",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908088",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.